Individual
CHRISTINE M. BURBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC NCC
Contact information
Practice address
175 OLDE HALF DAY RD STE 100-6, LINCOLNSHIRE, IL 60069-3008
(847) 748-2558
Mailing address
175 OLDE HALF DAY RD STE 100-6, LINCOLNSHIRE, IL 60069-3008
(847) 748-2558
(847) 301-3633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178012153
IL
101YP2500X
Professional Counselor
178012153
IL
101YP2500X
Professional Counselor
Primary
180.012914
IL
Other
Enumeration date
07/18/2016
Last updated
05/30/2020
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