Organization
BYRON DOUGLAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN BALL LCPC,CADC,CEAP (CLINICIAN)
(847) 322-6695
Entity
Organization
Contact information
Practice address
701 LEE ST STE 920H, DES PLAINES, IL 60016-4557
(847) 322-6695
(224) 938-9046
Mailing address
9114 WAUKEGAN RD UNIT 945, MORTON GROVE, IL 60053-3837
(847) 322-6695
(224) 938-9046
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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