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Contact Information

KELLY C BUBEL THEIS, CADC, LCPC
2120 FOXTAIL DR
AURORA, IL60504-4223
 Phone: 155-013-1238
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KELLY C BUBEL THEIS · (Female)

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
  • IL License # 180015166
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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