Individual
CHRISTINE M NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1315 MEMORIAL DR, MENDOTA, IL 61342-1447
(815) 501-2088
(815) 220-0843
Mailing address
PO BOX 364, ROCHELLE, IL 61068-0364
(815) 501-2088
(815) 220-0843
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180005483
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245739
COMPSYCH
—
01
—
623783
BCBS IL
—
Enumeration date
02/28/2006
Last updated
06/11/2008
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