Powell, Kathleen Sue

Powell, Kathleen Sue is an individual health care provider with primary practice located at 1717 N Naper Blvd Ste 200, Naperville IL 60563-8802. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Powell, Kathleen Sue can be contacted via phone (630) 369-2494.

Contact Information

Primary practice address
1717 N Naper Blvd Ste 200 Naperville IL 60563-8802
Phone: (630) 369-2494
Fax: (630) 245-0337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149001513 Illinois

Profile Details

NPI number 1053478560
LBN Legal business name Powell, Kathleen Sue
Credentials MSW LCSW ACSW BCD CI
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated May 14th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053478560 NPPES
Illinois Other 149001513 LCSW

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