Individual
KAILEY BOCANEGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2560 FOXFIELD RD STE 310, SAINT CHARLES, IL 60174-5731
(630) 808-3847
(815) 844-3561
Mailing address
2560 FOXFIELD RD STE 310, SAINT CHARLES, IL 60174-5731
(630) 808-3847
(630) 808-3847
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/20/2017
Last updated
10/26/2020
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