Organization Name: | SUSAN PAUNA, MS, LCPC |
NPI Number: | 1295117380 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN E PAUNA (PRESIDENT) |
Mailing Address: | 710 E Ogden Ave Suite 600 Naperville |
State: | IL US |
Postal Code: | 605638602 |
Phone Number: | 6308659975 |
Fax Number: | 6303455444 |
NPI Enumeration Date: | 06/24/2015 |
NPI Last Update Date: | 06/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180007810 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |