Individual
KATHRYN ASHA THUMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, CST
Contact information
Practice address
100 N ATKINSON RD STE 112E, GRAYSLAKE, IL 60030-7805
(847) 682-0290
Mailing address
100 N ATKINSON RD STE 112E, GRAYSLAKE, IL 60030-7805
(847) 682-0290
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.000760
IL
106H00000X
Marriage & Family Therapist
806-124
WI
Other
Enumeration date
05/05/2008
Last updated
05/04/2012
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