Individual
IVAN MILICEVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
988 N ILLINOIS ROUTE 3, WATERLOO, IL 62298-1059
(618) 939-4444
Mailing address
988 N ILLINOIS ROUTE 3, WATERLOO, IL 62298-1059
(618) 939-4444
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180015207
IL
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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