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Organization
KRISTIN PADERA MA LCPC INC.
Active
Organization
KRISTIN PADERA MA LCPC INC.
Active
Other names
Padera Therapy and Wellness, Kristin Padera & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN GEORGIANNE PADERA MA LCPC (CEO)
(630) 940-9628
Entity
Organization
Contact information
Practice address
1131 WHEATON OAKS CT, WHEATON, IL 60187-3181
(630) 940-6828
Mailing address
1131 WHEATON OAKS CT, WHEATON, IL 60187-3181
(630) 940-6828
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
180.010302
IL
101YM0800X
Mental Health Counselor
Primary
180.010302
IL
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023550282
—
IL
05
—
1114323359
—
IL
05
—
1528795739
—
IL
05
—
1700501962
—
IL
05
—
1902404650
—
IL
05
—
1932685732
—
IL
05
—
1962127019
—
IL
Enumeration date
08/01/2017
Last updated
12/05/2022
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