Individual
EMILY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
25480 W CEDAR CREST LN, LAKE VILLA, IL 60046-9744
(847) 356-8205
Mailing address
25480 W CEDAR CREST LN, LAKE VILLA, IL 60046-8256
(847) 356-8205
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178013112
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178013112
ILLINOIS STATE PROFESSIONAL LICENSE
IL
Enumeration date
10/03/2018
Last updated
10/17/2019
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