Individual provider · Type 1 NPI

Kelly Jean Wydra, L.C.P.C., C.A.D.C.

Counselor · Downers Grove, IL

NPI number 1447794763 Active

Practice location

4923 Main St
Downers Grove, IL 60515-3654

Mailing address

1223 Rhodes Ln
Naperville, IL 60540-0341

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X180.007933 (IL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1447794763

Kelly Jean Wydra, L.C.P.C., C.A.D.C.'s National Provider Identifier is 1447794763, issued on Dec 5, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Downers Grove, IL. The record was last updated on Dec 5, 2016.