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Individual

KIRSTEN NICOLE JEFFERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
620 N STATE ROUTE 31, CRYSTAL LAKE, IL 60012-3714
(815) 261-3450
(815) 261-3451
Mailing address
1221 CARDINAL DR, ALGONQUIN, IL 60102-2547
(815) 261-3450
(815) 261-3451

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-45326
IL

Other

Enumeration date
12/16/2025
Last updated
12/16/2025
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