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Individual
MEREDITH YEBRA
Active
Individual
MEREDITH YEBRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, ART-BC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180014143
IL
221700000X
Art Therapist
178014741
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699478990
STATE OF ILLINOIS
IL
01
—
180014143
STATE OF ILLINOIS
IL
01
—
22-090
ATR REGISTRY
—
Enumeration date
06/11/2019
Last updated
06/04/2024
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