Individual provider · Type 1 NPI
Deidra Dame, LSW
Professional Counselor · Champaign, IL
NPI number
1518704501
Active
Practice location
495 Devonshire Dr
Champaign, IL 61820-7295
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 150113585 (IL) |
Professional Counselor: Definition to come...
4 other providers at this address
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About NPI 1518704501
Deidra Dame, LSW's National Provider Identifier is 1518704501, issued on Jul 9, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Champaign, IL. The record was last updated on Jul 9, 2024.