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Individual
SERENA ANNE FROST
Active
Individual
SERENA ANNE FROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
30910
IL
101YM0800X
Mental Health Counselor
Primary
180.012880
IL
101YP2500X
Professional Counselor
180012880
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30910
CADC
IL
Enumeration date
06/04/2013
Last updated
06/29/2026
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