Individual provider · Type 1 NPI

Ingrid Marie Kwak, LCPC

Professional Counselor · Berwyn, IL

NPI number 1447310065 Active

Practice location

6918 Windsor Ave
Berwyn, IL 60402

Mailing address

916 South Ashland Ave
Lagrange, IL 60525

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1447310065

Ingrid Marie Kwak, LCPC's National Provider Identifier is 1447310065, issued on Dec 12, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Berwyn, IL. The record was last updated on Jul 8, 2007.