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Individual

KATRINA ANN KING CARDENAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPRS

Contact information

Practice address
10656 GOLDEN GATE AVE, HUNTLEY, IL 60142-4027
(540) 272-8868
Mailing address
10656 GOLDEN GATE AVE, HUNTLEY, IL 60142-4027
(540) 272-8868

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
45346
IL
175T00000X
Peer Specialist
0735001121
VA

Other

Enumeration date
09/15/2025
Last updated
11/21/2025
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