Individual
KATHARINA KLAKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
457 COVENTRY LN STE 116, CRYSTAL LAKE, IL 60014-7571
(312) 584-6739
Mailing address
457 COVENTRY LN STE 115, CRYSTAL LAKE, IL 60014-7571
(312) 584-6739
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
PSY31066
CA
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2016
Last updated
10/15/2023
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