Provider Demographics
NPI:1306378732
Name:BORGATTI, GIULIA (LCPC)
Entity Type:Individual
Prefix:
First Name:GIULIA
Middle Name:
Last Name:BORGATTI
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 1:6843 STANLEY AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-5292
Mailing Address - Country:US
Mailing Address - Phone:708-613-7912
Mailing Address - Fax:
Practice Address - Street 1:6843 STANLEY AVE
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-5292
Practice Address - Country:US
Practice Address - Phone:708-613-7912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-03
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178012885101YM0800X
IL180014921101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health