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Petrita Laverne Salazar, LCPC
Counselor in Princeton, Illinois
NPI 1598270829

Petrita Laverne Salazar is a Counselor based in Princeton, IL. Petrita Laverne Salazar practices in Princeton, IL and has the professional credentials of LCPC. The NPI Number for Petrita Laverne Salazar is 1598270829 and holds a License No. 180006442 (Illinois).

The current practice location address for Petrita Laverne Salazar is 526 S Bureau Valley Pkwy Ste B, Princeton, IL and can be reached out via phone at 815-875-4548 and via fax at 815-875-8602.

Location: 526 S Bureau Valley Pkwy Ste B, Princeton, IL, 61356-0535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598270829
Provider Name
Petrita Laverne Salazar
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
526 S Bureau Valley Pkwy Ste B, Princeton, IL, 61356-0535
Phone Number
815-875-4548
Fax Number
815-875-8602
Provider Enumeration Date
12/08/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
526 S Bureau Valley Pkwy Ste B
City
Princeton
State
Illinois
Zip
61356-2066
Phone Number
815-875-4548
Fax Number
815-875-8602
person
Provider Business Mailing Address Details
Address
526 S Bureau Valley Pkwy Ste B
City
Princeton
State
Illinois
Zip
61356-2066
Phone Number
815-875-4548
Fax Number
815-875-8602
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
180006442 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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