Individual
CAROLYN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1113 S MILWAUKEE AVE, SUITE 104, LIBERTYVILLE, IL 60048-3758
(847) 367-5991
(847) 367-5997
Mailing address
1104 LOYOLA DR, LIBERTYVILLE, IL 60048-1276
(847) 680-6488
(847) 367-5997
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178014752
IL
101YP2500X
Professional Counselor
Primary
180013659
IL
Other
Enumeration date
05/11/2017
Last updated
06/09/2021
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