Most Relevant Information
Provider Data
| NPI Number: | 1003590035 |
| Provider Name: | KATHRINE BRUNHAVER LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 178.018154 |
Most Important Dates
| Enumeration Date: | 06/12/2023 |
| Last Updated: | 06/12/2023 |
Provider Practice Location
1801 W WARNER AVE
CHICAGO
IL
606131891
Practice Location Phone/Fax
| Phone: | 7732170540 |
| Fax: |
Provider Mailing Location
1620 N WINCHESTER AVE BSMT
CHICAGO
IL
606220920
Provider Mailing Phone/Fax
| Phone: | 6187959878 |
| Fax: |