Organization
KATHLEEN BAXA LCPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN SUZANNE BAXA LCPC (PSYCHOTHERAPIST)
(847) 697-7078
Entity
Organization
Contact information
Practice address
600 SPRING HILL RING RD, WEST DUNDEE, IL 60118-7300
(847) 697-7078
Mailing address
600 SPRING HILL RING RD, WEST DUNDEE, IL 60118-7300
(847) 697-7078
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180009274
IL
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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