Individual
KELLY HIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
305 N VINE ST, UNIT 201D, NEW LENOX, IL 60451-1652
(815) 768-9688
(815) 717-7256
Mailing address
305 N VINE ST, UNIT 201D, NEW LENOX, IL 60451-1652
(815) 768-9688
(815) 717-7256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
071007734
IL
Other
Enumeration date
04/03/2008
Last updated
05/13/2021
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