Provider Demographics
NPI:1033297908
Name:VON DREELE, CAMILLE F (LCPC)
Entity Type:Individual
Prefix:MS
First Name:CAMILLE
Middle Name:F
Last Name:VON DREELE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MS
Other - First Name:CAMILLE
Other - Middle Name:F
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCPC
Mailing Address - Street 1:802 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515
Mailing Address - Country:US
Mailing Address - Phone:630-768-8311
Mailing Address - Fax:630-544-3325
Practice Address - Street 1:1121 WARREN AVENUE
Practice Address - Street 2:SUITE 240
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515
Practice Address - Country:US
Practice Address - Phone:331-201-2755
Practice Address - Fax:630-544-3325
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL17665101YA0400X
IL180-003599101YP2500X
IL180003599101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)