Individual
ANA LILIA JAVIER-ETAPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.007559
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1617631
BLUE CROSS BLUE SHIELD
IL
01
—
202591
MEDICARE
IL
Enumeration date
04/25/2007
Last updated
01/03/2023
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