Individual
KATHERINE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
910 SKOKIE BLVD STE 215, NORTHBROOK, IL 60062-4033
(847) 224-5911
Mailing address
602 AMES ST, LIBERTYVILLE, IL 60048-2613
(847) 224-5911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180012239
IL
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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