Individual
CAROLINE KENERSON TEBBENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
5225 OLD ORCHARD RD STE 37, SKYLIGHT COUNSELING CENTER, SKOKIE, IL 60077-1027
(847) 529-8300
Mailing address
1730 N CLARK ST APT 801, CHICAGO, IL 60614-5855
(978) 302-5257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.012421
IL
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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