Individual
MS. DANA MARIE AIKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSADC, MISAI, ATE
Contact information
Practice address
1909 CHEKER SQ, EAST HAZEL CREST, IL 60429-1442
(708) 647-3371
(708) 647-3503
Mailing address
1909 CHEKER SQ, EAST HAZEL CREST, IL 60429-1442
(708) 647-3371
(708) 647-3503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22990
MISA I
IL
01
—
3051
ATE
IL
01
—
3051
CSADC
—
Enumeration date
04/08/2016
Last updated
04/08/2016
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