NPI 1003611005

Kickstand Counseling, PLLC

Organisation Professional Counselor Downers Grove, IL

Practice location

Address: 5120 Main St STE 103, Downers Grove, IL 60515-4667
Phone: (630) 640-5268
Mailing address: 2640 Woodmere Dr, Darien, IL 60561-1503

Authorised official

Name: Karla Buck
Title: Owner, Clinical Counselor
Phone: (630) 640-5268

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

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Registry record

NPI: 1003611005
Entity type: Organization
NPI issued: 14 Feb 2025
Record last updated: 14 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.