Individual
MR. CARL ROY SCIANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCPC
Contact information
Practice address
1263 S HIGHLAND AVE STE 2D, LOMBARD, IL 60148-4527
(630) 408-8108
Mailing address
PO BOX 4143, CHICAGO, IL 60654-4143
(630) 290-7762
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.007794
IL
Other
Enumeration date
06/25/2008
Last updated
05/02/2012
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