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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN CONNOLLY

Active Sole Proprietor

KEVIN CONNOLLY is a Professional Counselor healthcare provider located in BLOOMINGDALE, Illinois. NPI 1124419643 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · BLOOMINGDALE, IL

Registration Details

NPI Number
1124419643
Provider Type
Individual
Gender
Male
NPI Issued
Feb 6, 2015 (11.492937437008 yrs)
Last Updated
Feb 12, 2015
Licenses
180009277 (IL)
180009277 (IL)
180009277 (IL)
180009277 (IL)
Sole Proprietor
Yes

Practice Information

Address
1 TIFFANY PT STE 110
BLOOMINGDALE, IL, 601082915
Browse IL providers · Browse ZIP 60108
Phone
7739812972
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Mental Health Counselor
Additional Specialty
Marriage & Family Therapist

Other Professional Counselor Providers in BLOOMINGDALE, IL

Name Credential NPI
GREGORY LEE MAHONEY M.A., L.C.P.C. 1588739411
MRS. JOYCE NADINE NELSON MS LCPC 1093871089
MRS. ANNE KELLSTEDT RAMIREZ MS LCPC 1639217656
MS. PATRICIA K SCOTT MSW LCPC 1447379268
JANET G RUZICH MSW, LPC 1679769848
DEANNA LYNN CASUCCI LCPC, CADC 1760655542
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.