Organization
THE NEW CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN KUKOLECK PSYD (OWNER)
(773) 504-7341
Entity
Organization
Contact information
Practice address
3354 N PAULINA ST, SUITE 204C, CHICAGO, IL 60657-1068
(773) 405-3541
Mailing address
3354 N PAULINA ST, SUITE 204C, CHICAGO, IL 60657-1068
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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