Doctor Name: | VALERIE NOOTBAAR |
NPI Number: | 1053791608 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 178.011027 |
Business Practice Address: | 201 E Dundee Rd Palatine, IL - 600742366 |
Business Phone Number: | 8478093031 |
Business Fax Number: | 8479917284 |
Mailing Address: | 201 E Dundee Rd, PALATINE |
State: | IL |
Postal Code: | 600742366 |
Phone Number: | 8478093031 |
Fax Number: | 8479917284 |
NPI Enumeration Date: | 06/08/2015 |
NPI Last Update Date: | 06/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 178.011027 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |