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Organization

BEYOND AWARENESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATRINA LIDIK LCPC (OWNER/CLINICAL PSYCHOTHERAPIST)
(847) 305-9384
Entity
Organization

Contact information

Practice address
85 REVERE DR STE B, NORTHBROOK, IL 60062-8001
(872) 588-0687
Mailing address
3523 SOUTHPORT DR, ISLAND LAKE, IL 60042-9143
(847) 305-9384

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
07/17/2019
Last updated
07/17/2019
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