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Ms. Sandra Diamond
Professional Counselor in Park Ridge, Illinois
NPI 1871945105

Sandra Diamond is a Professional Counselor based in Park Ridge, IL and is specialized in Professional. Sandra Diamond practices in Park Ridge, IL. The NPI Number for Sandra Diamond is 1871945105 and holds a License No. 178.007957 (Illinois).

The current practice location address for Sandra Diamond is 1480 Renaissance Dr Ste 212, Park Ridge, IL and can be reached out via phone at 847-699-3399.

Location: 1480 Renaissance Dr Ste 212, Park Ridge, IL, 60068-1353
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871945105
Provider Name
Sandra Diamond
Credential
Provider Entity Type
Individual
Gender
Female
Address
1480 Renaissance Dr Ste 212, Park Ridge, IL, 60068-1353
Phone Number
847-699-3399
Fax Number
Provider Enumeration Date
07/11/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
178.007957 01 IL LICENSED PROFESSIONAL COUNSELOR
institution
Provider Business Practice Location Address Details
Address
1480 Renaissance Dr Ste 212
City
Park Ridge
State
Illinois
Zip
60068-1353
Phone Number
847-699-3399
Fax Number
person
Provider Business Mailing Address Details
Address
1480 Renaissance Dr Ste 212
City
Park Ridge
State
Illinois
Zip
60068-1353
Phone Number
847-699-3399
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
178.007957 (Illinois)
Definition
Definition to come...
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