KYLE PRESTON GOODWIN

DEKALB, IL
NPI1508508417
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180.014323)
Enumeration Date2022-04-11
Last Update Date2022-04-11
Business Address
Mr. KYLE PRESTON GOODWIN LCPC
1340 CHESTNUT ST
DEKALB, IL 60115-8971
Phone number: 773-947-4105
Mailing Address
Mr. KYLE PRESTON GOODWIN LCPC
PO BOX 1104
DEKALB, IL 60115-7104
Phone number: