MRS. Caroline Kelly Tye, LCPC, ATR-BC

NPI #1245787506 in Chicago, Illinois

Provider Information

NPI Number: 1245787506
Entity Type: Individual
Name: MRS. Caroline Kelly Tye, LCPC, ATR-BC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Art Therapist
Credential: LCPC, ATR-BC
Enumeration Date: Sep 4, 2016
Last Updated: Nov 28, 2017

Practice Location

Address: 2630 W FLETCHER ST
City: Chicago
State: Illinois
ZIP Code: 60618-7110
Phone: (847) 651-8643

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Art Therapist	221700000X	Primary
Counselor - Professional — Professional	101YP2500X

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