Individual
MRS. PEGGY LONGMAN KEPPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSW, CADC, GC-C
Contact information
Practice address
POSITIVE SOBRIETY INSTITUTE, 680 N. LAKE SHORE DR. SUITE 800, CHICAGO, IL 60611
(312) 642-7230
(312) 642-7055
Mailing address
RIVERMEND HEALTH / POSITIVE SOBRIETY INSTITUTE, 680 N. LAKESHORE DR. SUITE 800, CHICAGO, IL 60611
(312) 642-7230
(312) 642-7055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
34557
IL
104100000X
Social Worker
Primary
149.022225
IL
Other
Enumeration date
06/26/2018
Last updated
05/23/2020
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