Individual provider · Type 1 NPI

Jamie Kmieciak

Mental Health Counselor · Lisle, IL

NPI number 1902653199 Active

Practice location

4745 Main St Ste 207
Lisle, IL 60532-1758

Call (630) 442-1895 Map

Mailing address

4285 White Birch Dr
Lisle, IL 60532-1252

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.020146 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1902653199

Jamie Kmieciak's National Provider Identifier is 1902653199, issued on May 4, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lisle, IL. The record was last updated on May 4, 2024.