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Individual
NOEL CORDOVA
Active
Individual
NOEL CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
32131
IL
101YP2500X
Professional Counselor
Primary
178.011077
IL
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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