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Individual

DR. RENEE ANN ST. CLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., LMFT

Contact information

Practice address
201 W. SPRINGFIELD AVE., SUITE 1005-1006, CHAMPAIGN, IL 61820
(217) 693-4918
(217) 531-4047
Mailing address
201 W. SPRINGFIELD AVE., SUITE 1005-1006, CHAMPAIGN, IL 61820
(217) 693-4918
(217) 531-4047

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.000861
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1225303910
IL
05
1538561691
IL
Enumeration date
03/14/2012
Last updated
06/03/2016
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