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Individual

DANIEL APPLEGATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
4 O CONNOR CT, CHAMPAIGN, IL 61821-5521
(217) 402-7071
Mailing address
4 O CONNOR CT, CHAMPAIGN, IL 61821-5521
(217) 402-4071

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180010921
IL
101YP2500X
Professional Counselor
178.009838
IL

Other

Enumeration date
03/28/2014
Last updated
01/11/2024
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