Individual
DEBRA ANN KOWALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LCPC
Contact information
Practice address
1 E NORTHWEST HWY, SUITE 212, PALATINE, IL 60067-1708
(708) 280-6538
Mailing address
1519 N DRYDEN AVE, ARLINGTON HEIGHTS, IL 60004-4031
(847) 670-7115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633892
BC/BS ID NUMBER
IL
Enumeration date
03/27/2006
Last updated
07/08/2007
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