Individual provider · Type 1 NPI
Adrienne Waters Main, LCPC
Professional Counselor · Park Ridge, IL
NPI number
1194330241
Active
Practice location
36 Main St Ste 107
Park Ridge, IL 60068-4059
Mailing address
304 S Home Ave
Park Ridge, IL 60068-3845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.003752 (IL) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1194330241
Adrienne Waters Main, LCPC's National Provider Identifier is 1194330241, issued on Sep 14, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Park Ridge, IL. The record was last updated on Sep 14, 2020.