Organization
SOULHEALING-PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN KINGSLEY LCPC (COUNSELING PSYCHOLOGIST)
(708) 622-5757
Entity
Organization
Contact information
Practice address
101 N MARION ST, OAK PARK, IL 60301-1167
(708) 622-5757
Mailing address
9200 W MCDOWELL RD UNIT 156, PHOENIX, AZ 85037-1189
(630) 788-9898
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
11/13/2024
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