Individual provider · Type 1 NPI

Melanie M. Kallal, LCPC, CADC

Professional Counselor · Evanston, IL

NPI number 1487990164 Active

Practice location

1818 Dempster St, Heartwood Center
Evanston, IL 60202-1003

Call (224) 330-9975 Map

Mailing address

1818 Dempster, Heartwood Center
Evanston, IL 60202-1003

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.009388 (IL)

Professional Counselor: Definition to come...

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About NPI 1487990164

Melanie M. Kallal, LCPC, CADC's National Provider Identifier is 1487990164, issued on Dec 27, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Evanston, IL. The record was last updated on Jan 12, 2015.