Beanblossom, K. Lara
Beanblossom, K. Lara is an sole proprietor health care provider with primary practice located at 545 Lincoln Ave Ste 4 , Winnetka IL 60093-2349. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Beanblossom, K. Lara can be contacted via phone (312) 385-9777.Contact Information
Primary practice address
545 Lincoln Ave Ste 4
Winnetka IL 60093-2349
Phone: (312) 385-9777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071006369 | Illinois |
Profile Details
| NPI number | 1427184795 |
|---|---|
| LBN Legal business name | Beanblossom, K. Lara |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Nov 9th, 2020 - about 5 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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