person
Kennise D. Eaton
Mental Health Counselor in Homewood, Illinois
NPI 1952186249

Kennise D. Eaton is a Mental Health Counselor based in Homewood, IL and is specialized in Mental Health. Kennise D. Eaton practices in Homewood, IL. The NPI Number for Kennise D. Eaton is 1952186249 and holds a License No. 178004164 (Illinois).

The current practice location address for Kennise D. Eaton is 19150 Kedzie Ave, Homewood, IL and can be reached out via phone at 708-300-8864.

Location: 19150 Kedzie Ave, Homewood, IL, 60430-4375
person
Provider Profile Details
NPI Number
1952186249
Provider Name
Kennise D. Eaton
Credential
Provider Entity Type
Individual
Gender
Female
Address
19150 Kedzie Ave, Homewood, IL, 60430-4375
Phone Number
708-300-8864
Fax Number
Provider Enumeration Date
08/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19150 Kedzie Ave
City
State
Zip
60430-4375
Phone Number
708-300-8864
Fax Number
person
Provider Business Mailing Address Details
Address
19150 Kedzie Ave
City
State
Zip
60430-4375
Phone Number
708-300-8864
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178004164 (Illinois)
Definition
Definition to come...
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