person
Kyle Tanner, LCPC
Professional Counselor in Chicago, Illinois
NPI 1679156046

Kyle Tanner is a Professional Counselor based in Forest Park, IL and is specialized in Professional. Kyle Tanner practices in Chicago, IL and has the professional credentials of LCPC. The NPI Number for Kyle Tanner is 1679156046 and holds a License No. 180013001 (Illinois).

The current practice location address for Kyle Tanner is 1053 W Grace St Apt 2E, Chicago, IL and can be reached out via phone at 843-450-5953.

Location: 1053 W Grace St Apt 2E, Chicago, IL, 60130-1726
person
Provider Profile Details
NPI Number
1679156046
Provider Name
Kyle Tanner
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
1053 W Grace St Apt 2E, Chicago, IL, 60130-1726
Phone Number
843-450-5953
Fax Number
Provider Enumeration Date
05/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1053 W Grace St Apt 2E
City
State
Zip
60613-5082
Phone Number
843-450-5953
Fax Number
person
Provider Business Mailing Address Details
Address
1053 W Grace St Apt 2E
City
State
Zip
60613-5082
Phone Number
843-450-5953
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180013001 (Illinois)
Definition
Definition to come...
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