Individual provider · Type 1 NPI
Brandi Nicole Outlaw, LPC
Professional Counselor · Woodridge, IL
NPI number
1457192569
Active
Practice location
3290 83rd St
Woodridge, IL 60517-3634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 178.018856 (IL) |
| Professional Counselor Primary | 101YP2500X | 178018856 (IL) |
Professional Counselor: Definition to come...
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About NPI 1457192569
Brandi Nicole Outlaw, LPC's National Provider Identifier is 1457192569, issued on Jun 3, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Woodridge, IL. The record was last updated on Jun 3, 2024.