Organization
AFTERGLOW COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIMBERLEE KOEHLER LCPC (OWNER)
(312) 761-9841
Entity
Organization
Contact information
Practice address
6147 N SHERIDAN RD, CHICAGO, IL 60660-2881
(219) 306-5488
Mailing address
6147 N SHERIDAN RD, CHICAGO, IL 60660-2881
(219) 306-5488
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265832414
—
IL
Enumeration date
09/01/2022
Last updated
09/01/2022
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