Individual
MS. KENYATA M FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC, CRADC
Contact information
Practice address
1549 BALMORAL AVE, WESTCHESTER, IL 60154-3638
(708) 299-9282
Mailing address
1549 BALMORAL AVE, WESTCHESTER, IL 60154-3638
(708) 299-9282
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.019144
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
25645
IL
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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