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Wayne J Kubasak, MS,LCPC
Counselor in Macomb, Illinois
NPI 1982821716

Wayne J Kubasak is a Counselor based in Macomb, IL. Wayne J Kubasak practices in Macomb, IL and has the professional credentials of MS,LCPC. The NPI Number for Wayne J Kubasak is 1982821716 and holds a License No. (Illinois).

The current practice location address for Wayne J Kubasak is 525 E Grant St, Macomb, IL and can be reached out via phone at 309-833-4101.

Location: 525 E Grant St, Macomb, IL, 61455-3313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982821716
Provider Name
Wayne J Kubasak
Credential
MS,LCPC
Provider Entity Type
Individual
Gender
Male
Address
525 E Grant St, Macomb, IL, 61455-3313
Phone Number
309-833-4101
Fax Number
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
032495 01 IL HEALTH ALLIANCE
institution
Provider Business Practice Location Address Details
Address
525 E Grant St
City
Macomb
State
Illinois
Zip
61455-3313
Phone Number
309-833-4101
Fax Number
person
Provider Business Mailing Address Details
Address
525 E Grant St
City
Macomb
State
Illinois
Zip
61455-3313
Phone Number
309-833-4101
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(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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