Individual provider · Type 1 NPI
Karine Ivy, LCPC
Mental Health Counselor · Glen Ellyn, IL
NPI number
1063283901
Active
Practice location
516 N Main St Ste C
Glen Ellyn, IL 60137-5175
Mailing address
1604 Lonsdale Ave Apt 206
Naperville, IL 60540-5145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180.015187 (IL) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1063283901
Karine Ivy, LCPC's National Provider Identifier is 1063283901, issued on Jan 10, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glen Ellyn, IL. The record was last updated on Jan 10, 2024.