| Kickstand Counseling, Pllc | |
|
5120 Main St Ste 103 Downers Grove IL 60515-4667 | |
| (630) 640-5268 | |
| Not Available |
| Full Name | Kickstand Counseling, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5120 Main St Ste 103, Downers Grove, Illinois |
| Authorized Official Name and Position | Karla Buck (OWNER, CLINICAL COUNSELOR) |
| Authorized Official Contact | 6306405268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kickstand Counseling, Pllc 2640 Woodmere Dr Darien IL 60561-1503 Ph: (630) 640-5268 | Kickstand Counseling, Pllc 5120 Main St Ste 103 Downers Grove IL 60515-4667 Ph: (630) 640-5268 |
| NPI Number | 1003611005 |
|---|---|
| Provider Enumeration Date | 02/14/2025 |
| Last Update Date | 02/14/2025 |
| Certification Date | 02/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003611005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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