Individual
ARIANA CELESTE MISERAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
178.017592
IL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/10/2018
Last updated
07/18/2024
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