Van Koevering, Kylie Marie
Van Koevering, Kylie Marie is an individual health care provider with primary practice located at 2216 W Giddings St Unit 2 , Chicago IL 60625-2002. She recently has only one registered license in Behavioral Health & Social Service Providers / Group Psychotherapy, which is considered as her primary health care specialty. Van Koevering, Kylie Marie can be contacted via phone (304) 993-3036.Contact Information
Primary practice address
2216 W Giddings St Unit 2
Chicago IL 60625-2002
Phone: (304) 993-3036
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 150.106532 | Illinois |
Profile Details
| NPI number | 1497495246 |
|---|---|
| LBN Legal business name | Van Koevering, Kylie Marie |
| Credentials | LSW, CADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2022 |
| Last updated | Mar 30th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497495246 | NPPES |
| Kentucky | MEDICAID | V18-079-062 |
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