Individual
KATRINA LOUISE PAKONEN-HUEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 W PARK AVE STE 103, CHAMPAIGN, IL 61820-7888
(217) 850-1133
(617) 807-0958
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007345
IL
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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