Individual provider · Type 1 NPI
Marycarol Park, LCPC
Professional Counselor · North Aurora, IL
NPI number
1700646262
Active
Practice location
2465 Moutray Ln
North Aurora, IL 60542-2111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.015794 (IL) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1700646262
Marycarol Park, LCPC's National Provider Identifier is 1700646262, issued on Mar 21, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in North Aurora, IL. The record was last updated on Mar 25, 2024.