Wayne J Kubasak, MS, LCPC

NPI #1982821716 in Macomb, Illinois

Provider Information

NPI Number: 1982821716
Entity Type: Individual
Name: Wayne J Kubasak, MS, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MS, LCPC
Enumeration Date: Apr 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 525 E GRANT ST
City: Macomb
State: Illinois
ZIP Code: 61455-3313
Phone: (309) 833-4101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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