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Individual

EMBER CASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
5230 S 6TH STREET RD, SPRINGFIELD, IL 62703-5128
(217) 585-1180
(217) 585-4747
Mailing address
5230 S 6TH STREET RD, SPRINGFIELD, IL 62703-5128
(217) 585-1180
(217) 585-4747

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007310
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180007310
LICENSED CLINICAL PROFESSIONAL COUNSELOR
IL
Enumeration date
02/14/2013
Last updated
04/18/2026
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