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Individual
KENNETH WEBER
Active
Individual
KENNETH WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, CRC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.012460
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180.012460
STATE OF ILLINOIS
IL
Enumeration date
01/21/2020
Last updated
01/21/2020
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