NPI Profile for KELLY C BUBEL THEIS in AURORA, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1831372895 |
|
| Status | Active | |
| Credentials | CADC, LCPC | |
| Entity | Individual | |
| Enumeration date | 12/13/2007 | |
| Last updated | 07/16/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KELLY C BUBEL THEIS
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