Individual
DEANNA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, BC-DMT
Contact information
Practice address
1007 CHURCH ST, SUITE 302, EVANSTON, IL 60201-3624
(847) 448-8341
Mailing address
1007 CHURCH ST, SUITE 302, EVANSTON, IL 60201-3624
(773) 571-7375
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.009453
IL
225600000X
Dance Therapist
1175
IL
Other
Enumeration date
05/24/2014
Last updated
01/07/2015
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