Provider Demographics
NPI:1639509136
Name:SALISBURY, ARIN (LCPC)
Entity Type:Individual
Prefix:
First Name:ARIN
Middle Name:
Last Name:SALISBURY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:ARIN
Other - Middle Name:
Other - Last Name:BREWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:2619 W HEADING AVE STE 221
Mailing Address - Street 2:
Mailing Address - City:WEST PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61604-4971
Mailing Address - Country:US
Mailing Address - Phone:815-242-1119
Mailing Address - Fax:
Practice Address - Street 1:2619 W HEADING AVE STE 221
Practice Address - Street 2:
Practice Address - City:WEST PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61604-4971
Practice Address - Country:US
Practice Address - Phone:815-242-1119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180008872101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional