KEVIN JAMES BRANNICK LPC
NPI 1003051574
Counselor - Professional in Riverside, IL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since December 11, 2008

3200 HARLEM AVE, RIVERSIDE, IL 60546(708) 447-2468(708) 447-0043 Get Directions Write a Review

NPPES record last updated: December 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kevin James Brannick Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN JAMES BRANNICK LPC (NPI 1003051574) is an individual professional provider in Riverside, Illinois, licensed in Illinois (178002986) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1003051574

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameKEVIN JAMES BRANNICKCredential: LPC

Location Address3200 HARLEM AVERiverside, IL 60546-2012

Mailing Address3200 Harlem AveRiverside, IL 60546-2012 · (708) 447-2468 · Fax (708) 447-0043

Phone(708) 447-2468

Fax(708) 447-0043

Sole ProprietorNo

Enumeration DateDecember 11, 2008

✔ NPI 1003051574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 178002986

3200 HARLEM AVE, Riverside, IL 60546

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