| Kathleen Baxa Lcpc | |
|
600 Spring Hill Ring Rd West Dundee IL 60118-7300 | |
| (847) 697-7078 | |
| Not Available |
| Full Name | Kathleen Baxa Lcpc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 600 Spring Hill Ring Rd, West Dundee, Illinois |
| Authorized Official Name and Position | Kathleen Suzanne Baxa (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8476977078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Baxa Lcpc 600 Spring Hill Ring Rd West Dundee IL 60118-7300 Ph: (847) 697-7078 | Kathleen Baxa Lcpc 600 Spring Hill Ring Rd West Dundee IL 60118-7300 Ph: (847) 697-7078 |
| NPI Number | 1629473665 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 11/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629473665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 180009274 (Illinois) | Primary |
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