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Individual
WANDA PARKER
Active
Individual
WANDA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CADC, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21216
IL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
180.010540
IL
Other
Enumeration date
06/22/2014
Last updated
03/14/2023
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