Individual
REYLLA CRISTINA FREIRE DO VALE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCPC
Contact information
Practice address
21 N VERMILION ST, DANVILLE, IL 61832-5865
(765) 607-0089
Mailing address
21 N VERMILION ST, DANVILLE, IL 61832-5865
(765) 607-0089
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
180.012212
IL
Other
Enumeration date
01/10/2019
Last updated
02/21/2023
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