Individual
MRS. KIMANNE FORAKER-KOONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, AMFT
Contact information
Practice address
18161 MORRIS AVE, SUITE 208, HOMEWOOD, IL 60430-2108
(708) 798-5433
(708) 798-5706
Mailing address
18161 MORRIS AVE, SUITE 208, HOMEWOOD, IL 60430-2108
(708) 798-5433
(708) 798-5706
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.000141
IL
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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