Organization
INNER GLOW COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN PARKMAN LCPC (OWNER)
(618) 520-4800
Entity
Organization
Contact information
Practice address
220 BRADFORD LN STE C, WATERLOO, IL 62298-3370
(618) 520-4800
Mailing address
220 BRADFORD LN STE C, WATERLOO, IL 62298-3370
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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