Individual
CARLA T BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
682 W. BOUGHTON RD, SUITE D, BOLINGBROOK, IL 60440
(630) 771-0144
(630) 771-9520
Mailing address
682 W. BOUGHTON RD, SUITE D, BOLINGBROOK, IL 60440
(630) 771-0144
(630) 771-9520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932036
BCBS PROVIDER NUMBER
IL
Enumeration date
03/16/2007
Last updated
07/08/2007
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