Individual provider · Type 1 NPI

Kyle Preston Goodwin, LCPC

Mental Health Counselor · Dekalb, IL

NPI number 1508508417 Active

Practice location

1340 Chestnut St
Dekalb, IL 60115-8971

Call (773) 947-4105 Map

Mailing address

PO Box 1104
Dekalb, IL 60115-7104

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180.014323 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1508508417

Kyle Preston Goodwin, LCPC's National Provider Identifier is 1508508417, issued on Apr 11, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dekalb, IL. The record was last updated on Apr 11, 2022.