Individual
CATHERINE ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ATR
Contact information
Practice address
478 PENNSYLVANIA AVE STE 302, GLEN ELLYN, IL 60137-4425
(708) 274-7289
Mailing address
31W755 ARMY TRAIL RD, WAYNE, IL 60184-2153
(630) 849-1398
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178014982
IL
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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