Individual
SANDRA K EADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7000 PIPER GLEN DR, SUITE C, SPRINGFIELD, IL 62711
(217) 483-7104
(817) 483-7109
Mailing address
7000 PIPER GLEN DR, SUITE C, SPRINGFIELD, IL 62711
(217) 483-7104
(817) 483-7109
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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