Individual
MS. BEVERLY JOAN MARINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LCPC
Contact information
Practice address
4700 W 95TH ST, SUITE LL5, OAK LAWN, IL 60453-2533
(800) 216-1110
(708) 346-4868
Mailing address
PO BOX 776, ADVOCATE FAMILY CARE NETWORK, OAK LAWN, IL 60454-0776
(800) 216-1110
(708) 346-4868
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
180-002684
IL
101YM0800X
Mental Health Counselor
Primary
180-002684
IL
Other
Enumeration date
04/06/2007
Last updated
05/22/2009
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