Individual
DEANNA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
16855 SCHOOL ST, SOUTH HOLLAND, IL 60473-3007
(773) 407-0554
Mailing address
16855 SCHOOL ST, SOUTH HOLLAND, IL 60473-3007
(773) 407-0554
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180006059
IL
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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