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Organization
KIND HARBOR COUNSELING, PLLC
Active
Organization
KIND HARBOR COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE ST CLAIR LCSW (OWNER)
(312) 854-9661
Entity
Organization
Contact information
Practice address
701 DEVONSHIRE DR STE D-2B, CHAMPAIGN, IL 61820-7337
(312) 854-9661
Mailing address
701 DEVONSHIRE DR STE D-2B, CHAMPAIGN, IL 61820-7337
(312) 854-9661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
09/15/2022
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