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Individual

MR. JOHN P KIZHAKEDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC, CEAP, SAP

Contact information

Practice address
3033 W JEFFERSON ST, SUITE 205, JOLIET, IL 60435-5261
(815) 773-6277
(708) 563-9381
Mailing address
3033 W JEFFERSON ST, SUITE 205, JOLIET, IL 60435-5261
(815) 773-6277
(708) 563-9381

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
IL

Other

Enumeration date
08/16/2006
Last updated
07/08/2007
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