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Individual

AMBER WAITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC, CMPC, CRC

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.017476
IL
101YP2500X
Professional Counselor
Primary
180.015668
IL

Other

Enumeration date
04/24/2023
Last updated
07/22/2025
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