MS. CAROLYN WASSBERG MANLEY LCPC NPI 1003123993

NPI Information

NPI: 1003123993
Provider Name: MS. CAROLYN WASSBERG MANLEY, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
10735 S CICERO AVE
OAK LAWN, IL
ZIP 60453
Phone: (708) 499-4041
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MS. Carolyn Wassberg Manley, LCPC is a mental health counselor in Oak Lawn, IL. MS. Carolyn Wassberg Manley, LCPC NPI is 1003123993. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10735 S CICERO AVE
OAK LAWN, IL
ZIP 60453-400
Phone: (708) 499-4041

The enumeration date for this NPI number is 9/13/2010 and was last updated on 9/13/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	180.001703	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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