Individual
ANITA LOUISE DIERKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9241 S IL ROUTE 31, LAKE IN THE HILLS, IL 60156-1607
(630) 346-6877
Mailing address
9241 S IL ROUTE 31, LAKE IN THE HILLS, IL 60156-1607
(630) 346-6877
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.008143
IL
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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