Provider Demographics
NPI:1164739793
Name:VOLINI, LORETTA F (EDD, LCPC)
Entity Type:Individual
Prefix:MRS
First Name:LORETTA
Middle Name:F
Last Name:VOLINI
Suffix:
Gender:F
Credentials:EDD, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3704 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2744
Mailing Address - Country:US
Mailing Address - Phone:630-455-0534
Mailing Address - Fax:
Practice Address - Street 1:3704 MADISON ST
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-2744
Practice Address - Country:US
Practice Address - Phone:630-455-0534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.000189101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional