Individual
MR. K.A. ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
150 N SCHUYLER AVE STE 1002, KANKAKEE, IL 60901-3862
(815) 933-7771
Mailing address
150 N SCHUYLER AVE STE 1002, KANKAKEE, IL 60901-3862
(815) 933-7771
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A-0030-0001-A
IL
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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