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Individual

CARA WELLS NIEBUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
417 HAGER DR, GIBSON CITY, IL 60936-1040
(217) 784-2146
(217) 784-1327
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4251

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178016771
IL

Other

Enumeration date
08/02/2023
Last updated
02/14/2024
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