Individual
KENNETH R CROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD(C)
Contact information
Practice address
137 N OAK PARK AVE, SUITE 400, OAK PARK, IL 60301-1344
(708) 386-9690
Mailing address
137 N OAK PARK AVE, SUITE 400, OAK PARK, IL 60301-1344
(708) 386-9690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180-003154
IL
103T00000X
Psychologist
Primary
180-003154
IL
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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