Individual
CHRISTA EASTBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CADC
Contact information
Practice address
30 N MICHIGAN AVE STE 424, CHICAGO, IL 60602-3844
(312) 279-9981
(312) 279-9981
Mailing address
30 N MICHIGAN AVE # 420424, CHICAGO, IL 60602-3402
(312) 279-9981
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37790
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37790
ILLINOIS CERTIFICATION BOARD, INC
IL
Enumeration date
10/01/2020
Last updated
01/17/2023
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