| Kainos Counseling And Consultation, Pllc | |
|
800 Roosevelt Rd Bldg. E Ste 410, #8 Glen Ellyn IL 60137-5839 | |
| (630) 216-9201 | |
| Not Available |
| Full Name | Kainos Counseling And Consultation, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 800 Roosevelt Rd Bldg. E, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Benjamin Michael Dally (OWNER/THERAPIST) |
| Authorized Official Contact | 2532235468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kainos Counseling And Consultation, Pllc 26w068 Jewell Rd Wheaton IL 60187-3931 Ph: (253) 223-5468 | Kainos Counseling And Consultation, Pllc 800 Roosevelt Rd Bldg. E Ste 410, #8 Glen Ellyn IL 60137-5839 Ph: (630) 216-9201 |
| NPI Number | 1497539266 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497539266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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