Provider Demographics
NPI:1033370432
Name:CAUWELS, IRENE E (LCPC, CADC)
Entity Type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:E
Last Name:CAUWELS
Suffix:
Gender:F
Credentials:LCPC, CADC
Other - Prefix:MS
Other - First Name:IRENE
Other - Middle Name:E
Other - Last Name:CAUWELS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LCPC, CADC
Mailing Address - Street 1:1250 S. GROVE STREET
Mailing Address - Street 2:SUITE 303
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60067-4909
Mailing Address - Country:US
Mailing Address - Phone:847-274-8532
Mailing Address - Fax:844-231-8909
Practice Address - Street 1:1250 S. GROVE STREET
Practice Address - Street 2:SUITE 303
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60067-4909
Practice Address - Country:US
Practice Address - Phone:847-274-8532
Practice Address - Fax:844-231-8909
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006874101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health