Kevin James Brannick
Professional Counselor
3200 Harlem Ave
Riverside
, Illinois 60546-2012
Kevin James Brannick
Professional Counselor
3200 Harlem Ave
Riverside
, Illinois 60546-2012
(708) 447-0043
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Kevin James Brannick
- 3200 Harlem Ave
- Riverside, IL
- Zip : 60546-2012
- Fax : (708) 447-0043
- Phone : (708) 447-2468
Second Address
- Kevin James Brannick
- 3200 Harlem Ave
- Riverside, IL
- Zip : 60546-2012
- Fax : (708) 447-0043
- Phone : (708) 447-2468
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | 178002986 | IL |
National Provider Identifier
| NPI | 1003051574 |
|---|---|
| Provider Name | Kevin James Brannick |
| First Address | Riverside, IL 60546-2012 |
| Second Address | Riverside, IL 60546-2012 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2008 |
| Last Update Date | 11/12/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.