Kimberly M Antos-Hogan, MA,LCPC, CRC, Valid NPI
Individual provider · Professional Counselor · Glen Ellyn, IL
- NPI
- 1780192724
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 180000743 (IL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2018-01-11
- Last updated
- 2018-01-11
Practice location
21w675 Dorchester Ct
Glen Ellyn, IL 60137-6411
(630) 740-8559