Provider Demographics
NPI:1346506599
Name:KIEL, REBECCA ANN (LCPC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:KIEL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3255 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:SUITE 512
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1586
Mailing Address - Country:US
Mailing Address - Phone:630-212-2090
Mailing Address - Fax:847-483-9702
Practice Address - Street 1:3255 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:SUITE 512
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1586
Practice Address - Country:US
Practice Address - Phone:630-212-2090
Practice Address - Fax:847-483-9702
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180004552101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional