Individual
MRS. ANA RAQUEL FLORENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178011586
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2014
Last updated
09/28/2016
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