Organization
INSEARCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK T KENNY LCPC (DIRECTOR)
(630) 530-2220
Entity
Organization
Contact information
Practice address
201 E ARMY TRAIL ROAD, 300D, BLOOMINGDALE, IL 60108-2106
(630) 530-2220
(773) 665-1269
Mailing address
201 E ARMY TRAIL ROAD, 300D, BLOOMINGDALE, IL 60108-2106
(630) 530-2220
(773) 665-1269
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180000746
IL
Other
Enumeration date
12/01/2006
Last updated
05/31/2012
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