Provider Demographics
NPI:1326241860
Name:SCHNITZIUS-RICHKO, MARI MARGARET (MA,ND,LCPC)
Entity Type:Individual
Prefix:
First Name:MARI
Middle Name:MARGARET
Last Name:SCHNITZIUS-RICHKO
Suffix:
Gender:F
Credentials:MA,ND,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 CAMPBELL
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-6638
Mailing Address - Country:US
Mailing Address - Phone:847-390-8919
Mailing Address - Fax:847-390-8919
Practice Address - Street 1:1441 CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-6638
Practice Address - Country:US
Practice Address - Phone:847-390-8919
Practice Address - Fax:847-390-8919
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006570101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional