Individual
MR. JAMES O KAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA CADC
Contact information
Practice address
130 HILLSBORO AVE, SUITE 200, EDWARDSVILLE, IL 62025-1636
(618) 296-5220
(618) 659-1185
Mailing address
130 HILLSBORO AVE, SUITE 200, EDWARDSVILLE, IL 62025-1636
(618) 296-5220
(618) 659-1185
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23871
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23871
CADC CERTIFICATION
IL
Enumeration date
03/15/2012
Last updated
03/15/2012
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