Provider Demographics
NPI:1316225675
Name:CANALE, ANNA (LCPC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:CANALE
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 1:4617 SHERWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-3034
Mailing Address - Country:US
Mailing Address - Phone:708-204-4647
Mailing Address - Fax:
Practice Address - Street 1:4617 SHERWOOD AVE
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-3034
Practice Address - Country:US
Practice Address - Phone:708-204-4647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional