Individual provider · Type 1 NPI

Kathleen Grace Booth

Mental Health Counselor · Chicago, IL

NPI number 1629794847 Active

Practice location

2755 N Pine Grove Ave
Chicago, IL 60614-6109

Mailing address

2555 N Clark St Apt 1903
Chicago, IL 60614-1758

Other practice locations

  • 3139 N Lincoln Ave, Chicago, IL 60657-3114 · (312) 259-2665

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629794847

Kathleen Grace Booth's National Provider Identifier is 1629794847, issued on Oct 19, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Oct 19, 2022.