Individual
DEBRA ELIZABETH KOENITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, ATR-BC
Contact information
Practice address
3000 DUNDEE RD, SUITE 411-412, NORTHBROOK, IL 60062-2422
(847) 525-6699
Mailing address
209 BURCHELL AVE, HIGHWOOD, IL 60040-1201
(847) 525-6699
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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