Individual provider · Type 1 NPI
Kevin Khamvongsa
Community/Behavioral Health Agency · Crystal Lake, IL
Practice location
145 S Virginia St
Crystal Lake, IL 60014-7226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | S4S8C5H5 (IL) |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
23 other providers at this address
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- Andrew Tait GordinierCounselor Crystal Lake, IL NPI 1366014078
- Angelica Soto, MSN, APRN, PMHNP-CPsychiatric/Mental Health Nurse Practitioner Crystal Lake, IL NPI 1063235505
- Brandi Gries, LCPCMental Health Counselor Crystal Lake, IL NPI 1790216679
- Brizza Celeste Gillette, DNP- PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Crystal Lake, IL NPI 1396672259
- Cynthia Duarte, LCSWClinical Social Worker Crystal Lake, IL NPI 1982251617
- Donna Lynn Derose, APNPsychiatric/Mental Health Nurse Practitioner Crystal Lake, IL NPI 1285168120
- Emily Anne CorsonClinical Social Worker Crystal Lake, IL NPI 1073334058
About NPI 1467907170
Kevin Khamvongsa's National Provider Identifier is 1467907170, issued on Aug 23, 2016. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Crystal Lake, IL. The record was last updated on Aug 23, 2016.