Provider Demographics
NPI:1225516263
Name:DURAN, PAOLA FRANCESCA (LCPC)
Entity Type:Individual
Prefix:
First Name:PAOLA
Middle Name:FRANCESCA
Last Name:DURAN
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 1:4141 N KEDZIE
Mailing Address - Street 2:SUITE #2
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-2477
Mailing Address - Country:US
Mailing Address - Phone:773-754-0577
Mailing Address - Fax:773-754-0548
Practice Address - Street 1:4141 N KEDZIE
Practice Address - Street 2:SUITE #2
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-2477
Practice Address - Country:US
Practice Address - Phone:773-754-0577
Practice Address - Fax:773-754-0548
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.011711101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional