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Individual
SUSAN ACKLEY
Active
Individual
SUSAN ACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16890
IL
101YP2500X
Professional Counselor
Primary
180.003566
IL
Other
Enumeration date
05/22/2007
Last updated
08/01/2016
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