Provider Demographics
NPI:1922372424
Name:KUESTER, NAOMI MARIE
Entity Type:Individual
Prefix:MS
First Name:NAOMI
Middle Name:MARIE
Last Name:KUESTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-2321
Mailing Address - Country:US
Mailing Address - Phone:847-746-0701
Mailing Address - Fax:847-746-0702
Practice Address - Street 1:2105 HEBRON AVE
Practice Address - Street 2:APT 7
Practice Address - City:ZION
Practice Address - State:IL
Practice Address - Zip Code:60099-2260
Practice Address - Country:US
Practice Address - Phone:847-746-0701
Practice Address - Fax:847-746-0702
Is Sole Proprietor?:No
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health