Provider Demographics
NPI:1265770796
Name:KILDUFF, APRIL CECILLE (MA, LCPC)
Entity type:Individual
Prefix:MS
First Name:APRIL
Middle Name:CECILLE
Last Name:KILDUFF
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4637 N LOWELL AVE
Mailing Address - Street 2:APT G1
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-4015
Mailing Address - Country:US
Mailing Address - Phone:312-213-1199
Mailing Address - Fax:
Practice Address - Street 1:4637 N LOWELL AVE
Practice Address - Street 2:APT G1
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-4015
Practice Address - Country:US
Practice Address - Phone:312-213-1199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008463101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health