Individual provider · Type 1 NPI

Kimberly Niccole Prugh, LMFT

Marriage & Family Therapist · Skokie, IL

NPI number 1093098477 Active

Practice location

5225 Old Orchard Rd, Suite 37
Skokie, IL 60077-4405

Call (773) 474-9082 Map

Mailing address

1961 W Summerdale Ave, 2
Chicago, IL 60640-1040

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X166.000945 (IL)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1093098477

Kimberly Niccole Prugh, LMFT's National Provider Identifier is 1093098477, issued on Sep 22, 2011. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Skokie, IL. The record was last updated on Jan 27, 2014.