Individual
ERIN MARIE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
12630 ANN ST, BLUE ISLAND, IL 60406-1704
(773) 710-8620
Mailing address
12630 ANN ST, BLUE ISLAND, IL 60406-1704
(773) 710-8620
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.011146
IL
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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