Provider Demographics
NPI:1245572924
Name:NOLAN, CHRISTINA K (EDD, NCC, LCPC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:K
Last Name:NOLAN
Suffix:
Gender:F
Credentials:EDD, NCC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 OLD TAMARACK LN
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-1977
Mailing Address - Country:US
Mailing Address - Phone:708-829-7255
Mailing Address - Fax:
Practice Address - Street 1:11800 S 75TH AVE
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1033
Practice Address - Country:US
Practice Address - Phone:708-671-8440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006554101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional