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Individual
MS. SUSAN L ROBERTS
Active
Individual
MS. SUSAN L ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180004201
IL
101YP2500X
Professional Counselor
180-004201
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01932002
BLUE CROSS BLUE SHIELD
IL
01
—
091193
HEALTH ALLIANCE
IL
01
—
364460074
UNITED BEHAVIORAL HEALTH
IL
01
—
486660000
MAGELLAN BEHAVIORALHEALTH
IL
Enumeration date
02/11/2006
Last updated
05/20/2008
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