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Individual

CHRISTINE MARIE CREIGHTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC, ATR

Contact information

Practice address
3504 COMMERCIAL AVE, NORTHBROOK, IL 60062-1821
(847) 272-5111
Mailing address
10062 HOLLY LN APT 2N, DES PLAINES, IL 60016-1462

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
2413 - 226
WI
101YP2500X
Professional Counselor
Primary
178009096
IL
225400000X
Rehabilitation Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
178009096
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION, LPC
IL
01
2413 - 226
MARRIAGE AND FAMILY THERAPY, PROFESSIONAL COUNSELING, AND SOCIAL WORK BOARD
WI
Enumeration date
05/07/2011
Last updated
08/12/2015
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