Kackley, Aimee

Kackley, Aimee is an sole proprietor health care provider with primary practice located at 1112 Church St # 1W , Evanston IL 60201-3604. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kackley, Aimee can be contacted via phone (312) 237-1419.

Contact Information

Primary practice address
1112 Church St # 1W Evanston IL 60201-3604
Phone: (312) 237-1419
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 937396 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 178013231 Illinois

Profile Details

NPI number 1386161503
LBN Legal business name Kackley, Aimee
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2017
Last updated Jul 21st, 2022 - 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.

Request for update

Popular Providers