Moon, Kathryn A

Moon, Kathryn A is an sole proprietor health care provider with primary practice located at 6240 N Magnolia Ave Apt 1 , Chicago IL 60660-1909. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Moon, Kathryn A can be contacted via phone (773) 643-1140.

Contact Information

Primary practice address
6240 N Magnolia Ave Apt 1 Chicago IL 60660-1909
Phone: (773) 643-1140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-003652 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180-003652 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counselor 101Y00000X 180-003652 Illinois

Profile Details

NPI number 1679530893
LBN Legal business name Moon, Kathryn A
Credentials M.A., L.C.P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2006
Last updated May 21st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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