Organization
BAUMAN PSYCHOTHERAPY COLLABORATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY JEAN BAUMAN PSY.D; LMFT (OWNER) (OWNER)
(815) 245-4825
Entity
Organization
Contact information
Practice address
457 COVENTRY LN STE 115, CRYSTAL LAKE, IL 60014-7571
(815) 245-4825
(815) 596-1008
Mailing address
720 S EASTWOOD DR # 168, WOODSTOCK, IL 60098-4635
(815) 245-4825
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
11/15/2021
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