Individual
BERNADETTE MARIA KALETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2211B LAKESIDE DR, BANNOCKBURN, IL 60015-1265
(847) 607-1374
Mailing address
3321 N PAGE AVE, CHICAGO, IL 60634-2916
(847) 630-9024
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.01578
IL
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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