Individual
MR. CARL TRIEBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.P.C, C.R.C
Contact information
Practice address
451 CASS ST, CRETE, IL 60417-2938
(800) 874-3265
Mailing address
PO BOX 525, CRETE, IL 60417-0525
(800) 874-3265
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180004061
IL
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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