Individual
AARON BARAJAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
424 W MADISON ST, OTTAWA, IL 61350-2833
(815) 434-3953
(815) 433-3980
Mailing address
424 W MADISON ST, OTTAWA, IL 61350-2833
(815) 434-3953
(815) 433-3980
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.011077
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164757266
NPI BILLING ADDRESS
—
Enumeration date
08/24/2017
Last updated
07/21/2022
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