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Contact Information

SANDRA K EADES, LCPC
7000 PIPER GLEN DR
SUITE C
SPRINGFIELD, IL62711
 Phone: 217-483-7104
 Fax: 817-483-7109
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for SANDRA K EADES · (Female)

NPI Number 1598844151
Status Active
Credentials LCPC (Licensed Clinical Professional Counselor)
Entity Individual
Enumeration date 11/03/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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