Individual
AIMEE J CRASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180005810
IL
174400000X
Specialist
180005810
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180005810
LICENSED CLINICAL PROFESSIONAL COUNSELOR
IL
Enumeration date
09/27/2013
Last updated
11/17/2022
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