Individual
CAROLYN JOYCE FAIVRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
229 N MAIN ST, GLEN ELLYN, IL 60137-5353
(630) 334-1053
Mailing address
229 N MAIN ST, GLEN ELLYN, IL 60137-5353
(630) 334-1053
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180004308
IL
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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