institution
Kristin Padera Ma Lcpc Inc.
Mental Health Counselor in Wheaton, Illinois
NPI 1174047138

Kristin Padera Ma Lcpc Inc. is a Mental Health Counselor based in Wheaton, IL and is specialized in Mental Health. Kristin Padera Ma Lcpc Inc. practices in Wheaton, IL. The NPI Number for Kristin Padera Ma Lcpc Inc. is 1174047138 and holds a License No. 180.010302 (Illinois).

The current practice location address for Kristin Padera Ma Lcpc Inc. is 1131 Wheaton Oaks Ct, Wheaton, IL and can be reached out via phone at 630-940-6828. You can also correspond with Kristin Padera Ma Lcpc Inc. through the mailing address at 1131 WHEATON OAKS CT, WHEATON, IL - 60187-3181 (mailing address contact number: 630-940-6828).

Location: 1131 Wheaton Oaks Ct, Wheaton, IL, 60187-3181
institution
Provider Profile Details
NPI Number
1174047138
Provider Name
Kristin Padera Ma Lcpc Inc.
Credential
Provider Entity Type
Organization
Address
1131 Wheaton Oaks Ct, Wheaton, IL, 60187-3181
Phone Number
630-940-6828
Fax Number
Provider Enumeration Date
08/01/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1700501962 05 IL
1902404650 05 IL
1932685732 05 IL
1023550282 05 IL
1114323359 05 IL
1528795739 05 IL
1962127019 05 IL
institution
Provider Business Practice Location Address Details
Address
1131 Wheaton Oaks Ct
City
State
Zip
60187-3181
Phone Number
630-940-6828
Fax Number
person
Provider Business Mailing Address Details
Address
1131 Wheaton Oaks Ct
City
State
Zip
60187-3181
Phone Number
630-940-6828
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
180.010302 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180.010302 (Illinois)
Definition
Definition to come...
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