| Doctor Name: | KATHERINE CONNOLLY |
| NPI Number: | 1003967027 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | |
| Business Practice Address: | 3350 Salt Creek Lane Suite 114 Arlington Heights, IL - 600051089 |
| Business Phone Number: | 8479527460 |
| Business Fax Number: | |
| Mailing Address: | 3350 Salt Creek Lane, Suite 114 ARLINGTON HEIGHTS |
| State: | IL |
| Postal Code: | 600051089 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |