Individual provider · Type 1 NPI

Dea Kentchadze

Mental Health Counselor · Crystal Lake, IL

NPI number 1598647901 Active

Practice location

800 S Mchenry Ave Ste F
Crystal Lake, IL 60014-7487

Call (815) 526-3750 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.021855 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1598647901

Dea Kentchadze's National Provider Identifier is 1598647901, issued on Jul 24, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Crystal Lake, IL. The record was last updated on Jul 24, 2025.