Individual provider · Type 1 NPI

Kelly Tedeschi, LPC

Professional Counselor · Park Ridge, IL

NPI number 1780101915 Active

Practice location

350 S Northwest Hwy
Park Ridge, IL 60068-4216

Mailing address

15540 Laramie Ave
Oak Forest, IL 60452-3419

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.013239 (IL)

Professional Counselor: Definition to come...

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About NPI 1780101915

Kelly Tedeschi, LPC's National Provider Identifier is 1780101915, issued on Aug 28, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Park Ridge, IL. The record was last updated on Jun 16, 2018.