Doctor Name: | CECILA CHAN LEONG |
NPI Number: | 1003281882 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 148.000893 |
Business Practice Address: | 800 E Northwest Hwy Suite 106b Mount Prospect, IL - 600563457 |
Business Phone Number: | 8478677924 |
Business Fax Number: | 8472994952 |
Mailing Address: | 139 Happ Rd, NORTHFIELD |
State: | IL |
Postal Code: | 600933413 |
Phone Number: | 7732185322 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2015 |
NPI Last Update Date: | 12/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 148.000893 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |