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Organization
KEYS TO MINDFUL MENDING
Active
Organization
KEYS TO MINDFUL MENDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHLEEN M MAHONY LCPC, CADC (MENTAL HEALTH PROVIDER)
(815) 527-1952
Entity
Organization
Contact information
Practice address
9113 TRINITY DR, LAKE IN THE HILLS, IL 60156-1668
(815) 527-1952
(224) 678-7535
Mailing address
1934 OZARK PKWY, ALGONQUIN, IL 60102-5436
(815) 527-1952
(224) 678-7535
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
IL
101YM0800X
Mental Health Counselor
—
IL
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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