Individual
MR. DARREN J KOHLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
650 N DEARBORN ST STE 400, CHICAGO, IL 60654
(773) 980-9037
Mailing address
650 N DEARBORN ST STE 400, CHICAGO, IL 60654-5358
(773) 980-9037
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
180.010535
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
180.010535
IL
101YM0800X
Mental Health Counselor
Primary
180.010535
IL
101YP2500X
Professional Counselor
180.010535
IL
Other
Enumeration date
09/19/2016
Last updated
05/21/2018
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