Organization
ALL PARTS SEEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEARA ENOCH LCPC, CADC, MAATP (OWNER/PSYCHOTHERAPIST)
(872) 356-6466
Entity
Organization
Contact information
Practice address
1 WESTBROOK CORPORATE CTR STE 300, WESTCHESTER, IL 60154-5709
(872) 356-6466
Mailing address
7301 W 25TH ST # 269, NORTH RIVERSIDE, IL 60546-1409
(872) 356-6466
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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