Individual
KRISTEN HERDEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5131 N LINCOLN AVE, CHICAGO, IL 60625
(331) 980-2094
Mailing address
919 BONNIE BRAE PLACE, RIVER FOREST, IL 60305
(331) 980-2094
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.000741
IL
Other
Enumeration date
01/31/2021
Last updated
01/31/2021
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