Provider Demographics
NPI:1245394345
Name:SCHICKEL, CAROL LEE (LCPC)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:LEE
Last Name:SCHICKEL
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 1:1441 S PLYMOUTH CT UNIT G
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-3364
Mailing Address - Country:US
Mailing Address - Phone:312-909-9337
Mailing Address - Fax:
Practice Address - Street 1:1218 W ADDISON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-3819
Practice Address - Country:US
Practice Address - Phone:312-909-9337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor