Individual
CAROL R CANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC, CADC
Contact information
Practice address
2530 CRAWFORD AVE STE 210, EVANSTON, IL 60201-4959
(847) 606-3046
Mailing address
1015 WILLOW RD, WINNETKA, IL 60093-3636
(847) 606-3046
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20151
IL
101YP2500X
Professional Counselor
180-000810
IL
Other
Enumeration date
12/05/2006
Last updated
10/03/2023
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