Individual
BARBARA MAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1566 SKYRIDGE DR UNIT 2, CRYSTAL LAKE, IL 60014-1027
(224) 623-2251
Mailing address
1566 SKYRIDGE DR UNIT 2, CRYSTAL LAKE, IL 60014-1027
(224) 623-2251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180010906
IL
101YP2500X
Professional Counselor
Primary
180010906
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180010906
LCPC
IL
Enumeration date
12/07/2015
Last updated
02/28/2024
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