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Individual

MRS. DEBRA BARAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC, CADC

Contact information

Practice address
457 COVENTRY LN STE 116, CRYSTAL LAKE, IL 60014-7571
(847) 309-6438
Mailing address
1127 AUTUMN DR, CRYSTAL LAKE, IL 60014-1612
(847) 309-6438

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18677
IL
101YM0800X
Mental Health Counselor
Primary
180001384
IL

Other

Enumeration date
10/09/2012
Last updated
11/19/2024
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