Individual provider · Type 1 NPI

Kenneth Louis Dalla Costa, LCPC

Professional Counselor · Orland Park, IL

NPI number 1265735120 Active

Practice location

15363 Tulip Ct
Orland Park, IL 60462-5024

Call (847) 772-9289 Map

Mailing address

13701 Lauerman St, 38
Cedar Lake, IN 46303-9292

Other practice locations

  • 13701 Lauerman St, Cedar Lake, IN 46303-9292 · (847) 772-9289

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180005602 (IL)

Professional Counselor: Definition to come...

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About NPI 1265735120

Kenneth Louis Dalla Costa, LCPC's National Provider Identifier is 1265735120, issued on Dec 15, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Orland Park, IL. The record was last updated on Jul 21, 2022.