Organization · Type 2 NPI

Kristin Padera Ma LCPC Inc.

Mental Health Counselor · Wheaton, IL

NPI number 1174047138 Active

Practice location

1131 Wheaton Oaks Ct
Wheaton, IL 60187-3181

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X180.010302 (IL)
Mental Health Counselor Primary 101YM0800X180.010302 (IL)
Mental Health Counselor 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174047138

Kristin Padera Ma LCPC Inc.'s National Provider Identifier is 1174047138, issued on Aug 1, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wheaton, IL. The record was last updated on Dec 5, 2022.