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Individual

MRS. LINDA DIANE PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, MSW

Contact information

Practice address
316 W ROOSEVELT RD, SUITE 10-B, WHEATON, IL 60187-5068
(630) 690-4150
(630) 665-6175
Mailing address
316 W ROOSEVELT RD, SUITE 10-B, WHEATON, IL 60187-5068
(630) 690-4150
(630) 665-6175

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12895
IL
1041C0700X
Clinical Social Worker
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02271377
BLUE CROSS BLUE SHIELD
IL
01
120816
COMPSYCH
IL
01
4276386
AETNA
IL
01
88288
MHN
IL
Enumeration date
08/01/2006
Last updated
09/11/2025
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