Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 180.007441 | IL |
NPI | 1003582032 |
---|---|
Provider Name | Deborah Frankland |
First Address | West Frankfort, IL 62896-2210 |
Second Address | Anna, IL 62906-1665 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2021 |
Last Update Date | 19/08/2021 |