Individual
CAROLINA IRAHETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT-18-47180, LPC
Contact information
Practice address
850 W BARTLETT RD, BARTLETT, IL 60103-4454
(630) 864-7267
(630) 596-0743
Mailing address
850 W BARTLETT RD UNIT 14C, BARTLETT, IL 60103-4454
(630) 864-7267
(630) 596-0743
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.016474
IL
106S00000X
Behavior Technician
RBT-18-47180
IL
Other
Enumeration date
05/18/2018
Last updated
02/13/2021
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