Organization
BERNADETTE KELLY LCPC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE JEAN KELLY (THERAPIST)
(708) 491-6185
Entity
Organization
Contact information
Practice address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(312) 379-9543
Mailing address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(312) 379-9543
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
10/16/2024
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