Doctor Name: | MS. ELAINE M CARLINO |
NPI Number: | 1326005067 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | |
Business Practice Address: | 695 Vernon Ave Glencoe, IL - 60022 |
Business Phone Number: | 8478354161 |
Business Fax Number: | 8478354181 |
Mailing Address: | 4170 N Marine Dr, CHICAGO |
State: | IL |
Postal Code: | 606132302 |
Phone Number: | 7732816124 |
Fax Number: | 8478354181 |
NPI Enumeration Date: | 04/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |