Individual
DIANE L CINNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, CADC
Contact information
Practice address
430 MILWAUKEE AVE, SUITE 15, LINCOLNSHIRE, IL 60069-3015
(847) 609-1826
(847) 949-7472
Mailing address
2160 CHADWICK WAY, MUNDELEIN, IL 60060-5383
(847) 609-1826
(847) 949-7472
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23515
IL
101YP2500X
Professional Counselor
Primary
180.007612
IL
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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