Doctor Name: | MS. ANNETTE M NIGRO |
NPI Number: | 1285923797 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 180.007629 |
Business Practice Address: | 1520 N Rock Run Dr Suite 30a Crest Hill, IL - 604033153 |
Business Phone Number: | 8157413009 |
Business Fax Number: | 8157418322 |
Mailing Address: | 1520 N Rock Run Dr, Suite 30a CREST HILL |
State: | IL |
Postal Code: | 604033153 |
Phone Number: | 8157413009 |
Fax Number: | 8157418322 |
NPI Enumeration Date: | 04/05/2011 |
NPI Last Update Date: | 04/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | 180.007629 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |