Organization
KAINOS CENTER FOR ECCLESIAL PSYCHOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN MICHAEL DALLY LCPC, EMDR (FOUNDER)
(331) 806-7511
Entity
Organization
Contact information
Practice address
26W068 JEWELL RD, WHEATON, IL 60187-3931
(331) 806-7511
Mailing address
26W068 JEWELL RD, WHEATON, IL 60187-3931
(331) 806-7511
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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