Kennise D. Eaton

NPI #1952186249 in Homewood, Illinois

Provider Information

NPI Number: 1952186249
Entity Type: Individual
Name: Kennise D. Eaton
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 28, 2023
Last Updated: Aug 28, 2023

Practice Location

Address: 19150 KEDZIE AVE
City: Homewood
State: Illinois
ZIP Code: 60430-4375
Phone: (708) 300-8864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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