Individual
DEBORAH MABIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2550 CRAWFORD AVE, SUITE 12, EVANSTON, IL 60201-4900
(847) 217-4978
(847) 864-6343
Mailing address
2110 CLEVELAND ST, EVANSTON, IL 60202-1914
(847) 217-4967
(847) 864-6343
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180003414
IL
1041C0700X
Clinical Social Worker
180003414
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363300648
TAX ID
IL
Enumeration date
09/06/2006
Last updated
04/12/2013
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