Provider Demographics
NPI:1295253771
Name:KUHN, KAYLEEN (MA, LCPC)
Entity type:Individual
Prefix:
First Name:KAYLEEN
Middle Name:
Last Name:KUHN
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:KAYLEEN
Other - Middle Name:
Other - Last Name:PEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LCPC
Mailing Address - Street 1:741 W WELLINGTON AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-5258
Mailing Address - Country:US
Mailing Address - Phone:949-910-2592
Mailing Address - Fax:
Practice Address - Street 1:910 SKOKIE BLVD STE 103&215
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-4013
Practice Address - Country:US
Practice Address - Phone:847-480-0300
Practice Address - Fax:847-291-0576
Is Sole Proprietor?:No
Enumeration Date:2017-09-05
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180013000101YP2500X
IL178.013234101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health