KENYON RENA DOUGLASS

CHICAGO, IL
NPI1215002050
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180004106)
Enumeration Date2006-11-21
Last Update Date2007-07-08
Business Address
Miss KENYON RENA DOUGLASS LCPC
1525 E 53RD ST SUITE 429
CHICAGO, IL 60615-4557
Phone number: 312-388-9182
Mailing Address
Miss KENYON RENA DOUGLASS LCPC
4518 S INDIANA AVE UNIT 2
CHICAGO, IL 60653-3908
Phone number: 773-624-9878