Individual provider · Type 1 NPI
Kelly Christine Bubel Theis, CADC, LCPC
Professional Counselor · Aurora, IL
NPI number
1831372895
Active
Practice location
2120 Foxtail Dr
Aurora, IL 60504-4223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Professional Counselor Primary | 101YP2500X | 180015166 (IL) |
Professional Counselor: Definition to come...
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About NPI 1831372895
Kelly Christine Bubel Theis, CADC, LCPC's National Provider Identifier is 1831372895, issued on Dec 13, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Aurora, IL. The record was last updated on Jul 16, 2023.