Individual
BERNARD KINSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
219 W CHICAGO AVE, CHICAGO, IL 60654-5600
(708) 969-4376
Mailing address
219 W CHICAGO AVE, CHICAGO, IL 60654-5600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-3605761
FAMILY SOLUTIONS
—
Enumeration date
11/06/2023
Last updated
11/06/2023
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