KYLE TANNER

CHICAGO, IL
NPI1679156046
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180013001)
Enumeration Date2021-05-03
Last Update Date2021-05-03
Business Address
KYLE TANNER LCPC
1053 W GRACE ST APT 2E
CHICAGO, IL 60613-5082
Phone number: 843-450-5953
Mailing Address
KYLE TANNER LCPC
7227 MADISON ST
FOREST PARK, IL 60130-1726
Phone number:
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