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Organization
MARY KATHLEEN O'HARA
Active
Organization
MARY KATHLEEN O'HARA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY KATHLEEN O'HARA (OWNER)
(630) 571-8784
Entity
Organization
Contact information
Practice address
2625 BUTTERFIELD RD, SUITE 103W, OAK BROOK, IL 60523-1234
(630) 571-8784
Mailing address
2625 BUTTERFIELD RD, SUITE 103W, OAK BROOK, IL 60523-1234
(630) 571-8784
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
180004804
—
106H00000X
Marriage & Family Therapist
166000225
IL
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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