Provider Demographics
NPI:1225118276
Name:VOLOSCHIN-WEINER, PATRICIA VIVIANA (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:VIVIANA
Last Name:VOLOSCHIN-WEINER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 N RITCHIE CT #14C.C
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610
Mailing Address - Country:US
Mailing Address - Phone:312-307-4392
Mailing Address - Fax:
Practice Address - Street 1:2737 HAWTHORN LN
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-2139
Practice Address - Country:US
Practice Address - Phone:773-880-0969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-002955101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health