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Individual

ELENA MARIA RICKARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
731 SABRINA DR UNIT C, EAST PEORIA, IL 61611-3582
(309) 699-9700
(309) 699-2937
Mailing address
731 SABRINA DR UNIT C, EAST PEORIA, IL 61611-3582
(309) 699-9700
(309) 699-2937

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
32851
IL

Other

Enumeration date
01/18/2022
Last updated
01/24/2022
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