Kathleen Grace Booth
Kathleen Grace Booth is a Mental Health Counselor in Chicago, Illinois. Works from 2 locations. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2755 N Pine Grove AveChicago, IL 60614-6109
Phone: (312) 259-2665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3139 N Lincoln Ave, Chicago, IL 60657-3114 — (312) 259-2665
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1629794847 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 19, 2022 |
| Last updated in NPPES | October 19, 2022 |
| Certification date | October 18, 2022 |
| Mailing address | 2555 N Clark St Apt 1903, Chicago, IL 60614-1758 |
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