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Individual

ADDI LIN CEJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1500 E LINCOLN HWY STE 1, DEKALB, IL 60115-3990
(779) 777-7933
Mailing address
1500 E LINCOLN HWY STE 1, DEKALB, IL 60115-3990
(779) 777-7933

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180011182
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180011182
LICENSED CLINICAL PROFESSIONAL COUNSELOR
IL
Enumeration date
08/22/2016
Last updated
03/17/2020
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