Individual
EDILBERTO SISON BIBAT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1585 ELLINWOOD AVE # STL11, DES PLAINES, IL 60016-4510
(847) 525-4254
Mailing address
1217 EUCLID AVE, WHITING, IN 46394-1507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.002057
IL
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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