Kathryn Mary Sample, LCPC

NPI #1457656068 in Dekalb, Illinois

Provider Information

NPI Number: 1457656068
Entity Type: Individual
Name: Kathryn Mary Sample, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Jan 13, 2011
Last Updated: Jan 13, 2011

Practice Location

Address: 12 HEALTH SERVICES DR
City: Dekalb
State: Illinois
ZIP Code: 60115-9637
Phone: (815) 756-4875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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