Organization
KD COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER D DIFILIPPO MSW/LCSW (SOCIAL WORKER)
(217) 369-9183
Entity
Organization
Contact information
Practice address
1205 RIVERSIDE CT, MAHOMET, IL 61853-3503
(217) 369-9183
Mailing address
1205 RIVERSIDE CT, MAHOMET, IL 61853-3503
(217) 369-9183
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149.013492
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104981067
NPI
—
Enumeration date
02/08/2012
Last updated
02/08/2012
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