Individual
AIMEE KACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1112 CHURCH ST # 1W, EVANSTON, IL 60201-3604
(312) 237-1419
Mailing address
1112 CHURCH ST # 1W, EVANSTON, IL 60201-3604
(312) 237-1419
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178013231
IL
101YS0200X
School Counselor
937396
IL
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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