Individual provider · Type 1 NPI
Kimberly M. Antos-Hogan, MA, LCPC, CRC
Professional Counselor · Glen Ellyn, IL
NPI number
1780192724
Active
Practice location
21W675 Dorchester Ct
Glen Ellyn, IL 60137-6411
Fax (630) 740-8559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180000743 (IL) |
Professional Counselor: Definition to come...
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About NPI 1780192724
Kimberly M. Antos-Hogan, MA, LCPC, CRC's National Provider Identifier is 1780192724, issued on Jan 11, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Glen Ellyn, IL. The record was last updated on Jan 11, 2018.