Individual
HEATHER RUTH KINSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
30 N MICHIGAN AVE STE 1920, CHICAGO, IL 60602-3618
(312) 980-6410
Mailing address
2108 SHERMAN AVE APT 1W, EVANSTON, IL 60201-3223
(847) 624-3699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.016873
IL
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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