Doctor Name: | CECILE M PETERMANN |
NPI Number: | 1144466228 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 178005885 |
Business Practice Address: | 115 S Wilke Rd Suite 300 Arlington Hts, IL - 600051532 |
Business Phone Number: | 8472592020 |
Business Fax Number: | 8472592078 |
Mailing Address: | 115 S Wilke Rd, Suite 300 ARLINGTON HEIGHTS |
State: | IL |
Postal Code: | 600051532 |
Phone Number: | 8472592020 |
Fax Number: | 8472592078 |
NPI Enumeration Date: | 12/19/2008 |
NPI Last Update Date: | 12/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 178005885 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |