Individual
ASHLEY HEATHERE KENNIEBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
24647 N MILWAUKEE AVE, VERNON HILLS, IL 60061-1567
(847) 377-7950
(847) 984-5635
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-7950
(847) 984-5635
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
03/10/2012
Last updated
03/10/2012
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