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NPI Code Detail

MEDICARE: MS. KELSEY BALDWIN AMFT

MEDICARE: MS. KELSEY BALDWIN AMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2106H00000XMarriage & Family TherapistIL

General Provider Information

NPI Number : 1306253109
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KELSEY BALDWIN AMFT
Provider Business Mailing Address
First Line : 939 W NORTH AVE STE 750
Second Line :
City : CHICAGO
State : IL
Zip : 60642-7142
Country : US
Telephone Number : 312-600-0409
Fax Number :
Provider Business Practice Location Address
First Line : 939 W NORTH AVE STE 750
Second Line :
City : CHICAGO
State : IL
Zip : 60642-7142
Country : US
Telephone Number : 312-600-0409
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2014
Last Update Date : 08/17/2023

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Directions to “ MS. KELSEY BALDWIN AMFT” Practice Location

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