Individual
MR. DUANE KIM BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1276 N CLYBOURN AVE UNIT 1, CHICAGO, IL 60610-2089
(312) 337-1073
Mailing address
3123 N OAKLEY AVE, UNIT 1, CHICAGO, IL 60618-7293
(773) 729-8202
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.010795
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
180.010795
IL
101YM0800X
Mental Health Counselor
180.010795
IL
101YP2500X
Professional Counselor
180.010795
IL
Other
Enumeration date
05/03/2017
Last updated
07/31/2019
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