| Doctor Name: | KIM K ALBERTS |
| NPI Number: | 1417138801 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 180004901 |
| Business Practice Address: | 300 N Kennedy Dr Suite 8 Bradley, IL - 609151559 |
| Business Phone Number: | 8159290099 |
| Business Fax Number: | 8159291284 |
| Mailing Address: | 300 N Kennedy Dr, Suite 8 BRADLEY |
| State: | IL |
| Postal Code: | 609151559 |
| Phone Number: | 8159290099 |
| Fax Number: | 8159291284 |
| NPI Enumeration Date: | 11/14/2007 |
| NPI Last Update Date: | 03/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 180004901 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |