KENNETH LOUIS DALLA COSTA

ORLAND PARK, IL
NPI1265735120
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180005602)
Enumeration Date2010-12-15
Last Update Date2022-07-21
Business Address
Mr. KENNETH LOUIS DALLA COSTA LCPC
15363 TULIP CT
ORLAND PARK, IL 60462-5024
Phone number: 847-772-9289
Mailing Address
Mr. KENNETH LOUIS DALLA COSTA LCPC
13701 LAUERMAN ST 38
CEDAR LAKE, IN 46303-9292
Phone number: 847-772-9289
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