Individual
ELIZABETH KATHLEEN KIENZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 BEDFORD LN, VOLO, IL 60073-8182
(847) 504-9382
Mailing address
413 BEDFORD LN, VOLO, IL 60073-8182
(847) 504-9382
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.009749
IL
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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