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Search › Illinois › 101Y00000X

Petrita Salazar, LCPC

NPI 1598270829 · on the registry since 2017 · sole proprietor

Practice

Address
526 S Bureau Valley Pkwy Ste B
Princeton, IL 61356
Phone
(815) 875-4548
Fax
(815) 875-8602
Organisation at this address
County Of Bureau
Gateway Services Inc
Gateway Services, Inc
Bmp Tri Co Spec Educ Coop
Bureau County Family Health
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois