Individual
CONOR KLUSENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CRC
Contact information
Practice address
4824 S WINCHESTER AVE, CHICAGO, IL 60609-4166
(773) 410-3223
Mailing address
4824 S WINCHESTER AVE, CHICAGO, IL 60609-4166
(773) 410-3223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.017621
IL
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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