Dea Kentchadze Valid NPI

Individual provider · Mental Health Counselor · Crystal Lake, IL

NPI

1598647901

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

178.021855 (IL)

Sex

X

Sole proprietor

Yes

Enumerated

2025-07-24

Last updated

2025-07-24