Individual
ADRIENNE WATERS MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
36 MAIN ST STE 107, PARK RIDGE, IL 60068-4059
(847) 220-7298
Mailing address
304 S HOME AVE, PARK RIDGE, IL 60068-3845
(847) 636-8208
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.003752
IL
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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