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Organization
KYJ MENTAL HEALTH ASSOCIATES LLC
Active
Organization
KYJ MENTAL HEALTH ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIBIBI JORDAN (OWNER)
(708) 262-9018
Entity
Organization
Contact information
Practice address
376 HOXIE AVE, CALUMET CITY, IL 60409-2314
(708) 262-9018
Mailing address
376 HOXIE AVE, CALUMET CITY, IL 60409-2314
(708) 262-9018
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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