Organization
AUDRA KURTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDRA E KURTH LCPC (OWNER)
(309) 287-7216
Entity
Organization
Contact information
Practice address
4054 N LINCOLN AVE # 2, CHICAGO, IL 60618-3038
(309) 287-7216
Mailing address
2737 W AINSLIE ST UNIT 1, CHICAGO, IL 60625-2715
(309) 287-7216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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