Individual
DR. KARA SUE CICCIARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, NCSP, LCP
Contact information
Practice address
7317 N WILLOW LAKE CT, PEORIA, IL 61614-8227
(309) 683-7373
Mailing address
7317 N WILLOW LAKE CT, PEORIA, IL 61614-8227
(309) 683-7272
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071011250
IL
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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