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Individual

CATHERINE MENNINGER-KOKONTIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, ACSW, CADC

Contact information

Practice address
10 CALENDAR CT, SUITE F, LA GRANGE, IL 60525-2323
(708) 819-1092
(708) 579-1705
Mailing address
529 S 6TH AVE, LA GRANGE, IL 60525-6714
(708) 819-1092
(708) 579-1705

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22922
IL
1041C0700X
Clinical Social Worker
Primary
149.014505
IL

Other

Enumeration date
05/09/2012
Last updated
04/09/2015
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