Individual provider · Type 1 NPI
Pauline Mainou Kingwergs
Counselor · Chicago, IL
NPI number
1790660751
Active
Practice location
3047 N Lincoln Ave # 201
Chicago, IL 60657-4999
Mailing address
3734 N Sheffield Ave Apt Gs
Chicago, IL 60613-5066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 178.021871 (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 1790660751
Pauline Mainou Kingwergs's National Provider Identifier is 1790660751, issued on Aug 8, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 8, 2025.