Doctor Name: | CARI JO DUFEL |
NPI Number: | 1265662167 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 149013717 |
Business Practice Address: | 2234 Market St # 2 Blue Island, IL - 604062976 |
Business Phone Number: | 7088458228 |
Business Fax Number: | |
Mailing Address: | 2234 Market St # 2, BLUE ISLAND |
State: | IL |
Postal Code: | 604062976 |
Phone Number: | 7088458228 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2009 |
NPI Last Update Date: | 07/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149013717 |
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 |