Individual
ELIZABETH ANN KIMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC, MT-BC
Contact information
Practice address
1737 N CAMPBELL AVE UNIT 1S, CHICAGO, IL 60647-5205
(847) 341-7993
Mailing address
1455 W GREGORY ST APT 1, CHICAGO, IL 60640-1377
(478) 341-7993
(815) 788-1321
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178018166
IL
222Q00000X
Developmental Therapist
—
—
225A00000X
Music Therapist
11259
IL
Other
Enumeration date
06/16/2014
Last updated
06/27/2022
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