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Organization

THE CENTER FOR COURAGEOUS LIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATIE (KATHLEEN) M KROENING LCSW (COUNSELOR/OWNDER)
(815) 707-4806
Entity
Organization

Contact information

Practice address
377 W VIRGINIA ST, CRYSTAL LAKE, IL 60014-5756
(815) 707-4806
(815) 977-8715
Mailing address
377 W VIRGINIA ST, CRYSTAL LAKE, IL 60014-5756
(815) 707-4806
(815) 977-8715

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.016805
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
149.016805
IL
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
05/24/2018
Last updated
08/09/2025
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