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Organization
BEHAVIORAL MEDICINE, P.C
Active
Organization
BEHAVIORAL MEDICINE, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA HOPE KINDGREN MS/LCPC (CEO)
(815) 520-5142
Entity
Organization
Contact information
Practice address
6973 REDANSA DR, ROCKFORD, IL 61108-1201
(815) 397-2224
(815) 397-2225
Mailing address
6973 REDANSA DR, ROCKFORD, IL 61108-1201
(815) 397-2224
(815) 397-2225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180004882
IL
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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