Provider Demographics
NPI:1124572102
Name:CARSTENSEN, MARGARET (LCPC, ATR)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:CARSTENSEN
Suffix:
Gender:F
Credentials:LCPC, ATR
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:CARSTENSEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCPC, ATR
Mailing Address - Street 1:113 MAIN ST STE 203
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-2305
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:113 MAIN ST STE 203
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-2305
Practice Address - Country:US
Practice Address - Phone:630-733-9108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180009434101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional