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Individual
MS. KIM DEVONE JAMES
Active
Individual
MS. KIM DEVONE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,CADC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16-R-58U
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
30612
IL
101YM0800X
Mental Health Counselor
Primary
C4372
OR
101YP2500X
Professional Counselor
180-006757
IL
Other
Enumeration date
12/31/2007
Last updated
01/10/2017
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