Individual provider · Type 1 NPI

Anita Louise Dierks, LCPC

Professional Counselor · Lake In The Hills, IL

NPI number 1821630799 Active

Practice location

9241 S Il Route 31
Lake In The Hills, IL 60156-1607

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.008143 (IL)

Professional Counselor: Definition to come...

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About NPI 1821630799

Anita Louise Dierks, LCPC's National Provider Identifier is 1821630799, issued on Oct 11, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake In The Hills, IL. The record was last updated on Oct 11, 2019.