Peters, Emily

Peters, Emily is an individual health care provider with primary practice located at 25480 W Cedar Crest Ln , Lake Villa IL 60046-9744. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Peters, Emily can be contacted via phone (847) 356-8205.

Contact Information

Primary practice address
25480 W Cedar Crest Ln Lake Villa IL 60046-9744
Phone: (847) 356-8205
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178013112 Illinois

Profile Details

NPI number 1275018491
LBN Legal business name Peters, Emily
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2018
Last updated Oct 17th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275018491 NPPES
Illinois Other 178013112 ILLINOIS STATE PROFESSIONAL LICENSE

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