Individual
DIANA ESCOBEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8000
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178014482
IL
101YP2500X
Professional Counselor
Primary
180.013770
IL
Other
Enumeration date
04/03/2019
Last updated
03/15/2023
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