Individual provider · Type 1 NPI

Kathryn Mary Sample, LCPC

Professional Counselor · Dekalb, IL

NPI number 1457656068 Active

Practice location

12 Health Services Dr
Dekalb, IL 60115-9637

Fax (815) 756-2944

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180007627 (IL)

Professional Counselor: Definition to come...

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About NPI 1457656068

Kathryn Mary Sample, LCPC's National Provider Identifier is 1457656068, issued on Jan 13, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dekalb, IL. The record was last updated on Jan 13, 2011.