Individual
TRACI L MILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
1000 JORIE BLVD, OAK BROOK, IL 60523-2214
(630) 974-6880
Mailing address
125 GRADY DR, BOLINGBROOK, IL 60440-1502
(630) 269-5102
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.012942
IL
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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