Individual provider · Type 1 NPI
Kathy J. De Vries, M.A., L.C.P.C.
Professional Counselor · Orland Park, IL
NPI number
1295984516
Active
Practice location
9721 W 165th St, Suite 23
Orland Park, IL 60467-4511
Fax (708) 460-0300
Mailing address
9721 W. 165th St, Suite 23
Orland Park, IL 60467-4511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.007790 (IL) |
Professional Counselor: Definition to come...
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About NPI 1295984516
Kathy J. De Vries, M.A., L.C.P.C.'s National Provider Identifier is 1295984516, issued on Sep 10, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Orland Park, IL. The record was last updated on Dec 4, 2015.