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Organization

BLENDING FAMILIES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATHLEEN ANGELL LCPC (OWNER)
(847) 533-9769
Entity
Organization

Contact information

Practice address
800 MAIN STREET, ANTIOCH, IL 60002
(224) 456-0345
(847) 838-9907
Mailing address
PO BOX 887, LAKE VILLA, IL 60046
(224) 456-0345
(847) 838-9907

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023020815
LCPC
IL
01
1063519510
LCPC
IL
01
1457579625
LCPC
IL
01
1902927791
LCPC
IL
Enumeration date
08/28/2007
Last updated
01/06/2026
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