Individual provider · Type 1 NPI

Theresa Kelly, M.A., LPC, LCPC

Counselor · Chicago, IL

NPI number 1548639891 Active

Practice location

4919 W Catalpa Ave
Chicago, IL 60630-1514

Call (773) 562-6230 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X178006846 (IL)
Counselor Primary 101Y00000X180009878 (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 1548639891

Theresa Kelly, M.A., LPC, LCPC's National Provider Identifier is 1548639891, issued on Sep 16, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Chicago, IL. The record was last updated on Mar 30, 2021.