person
Mr. Kenneth Louis Dalla Costa, LCPC
Professional Counselor in Orland Park, Illinois
NPI 1265735120

Kenneth Louis Dalla Costa is a Professional Counselor based in Cedar Lake, IL and is specialized in Professional. Kenneth Louis Dalla Costa practices in Orland Park, IL and has the professional credentials of LCPC. The NPI Number for Kenneth Louis Dalla Costa is 1265735120 and holds a License No. 180005602 (Illinois).

The current practice location address for Kenneth Louis Dalla Costa is 15363 Tulip Ct, Orland Park, IL and can be reached out via phone at 847-772-9289.

Location: 15363 Tulip Ct, Orland Park, IL, 46303-9292
person
Provider Profile Details
NPI Number
1265735120
Provider Name
Kenneth Louis Dalla Costa
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
15363 Tulip Ct, Orland Park, IL, 46303-9292
Phone Number
847-772-9289
Fax Number
Provider Enumeration Date
12/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15363 Tulip Ct
City
State
Zip
60462-5024
Phone Number
847-772-9289
Fax Number
person
Provider Business Mailing Address Details
Address
15363 Tulip Ct
City
State
Zip
60462-5024
Phone Number
847-772-9289
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180005602 (Illinois)
Definition
Definition to come...
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