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Organization
KIN THERAPY COLLECTIVE PLLC
Active
Organization
KIN THERAPY COLLECTIVE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA CATHERINE BURKE LCPC (PSYCHOTHERAPIST)
(302) 230-1531
Entity
Organization
Contact information
Practice address
4633 N WESTERN AVE STE 200, CHICAGO, IL 60625-2181
(302) 230-1531
Mailing address
5718 N WINTHROP AVE APT 608, CHICAGO, IL 60660-4370
(302) 230-1531
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447630769
—
IL
Enumeration date
04/14/2021
Last updated
04/14/2021
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