Provider Demographics
NPI:1336670843
Name:LORENZO, MARIAPAZ (LCPC)
Entity Type:Individual
Prefix:
First Name:MARIAPAZ
Middle Name:
Last Name:LORENZO
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:PATTI
Other - Middle Name:LORENZO
Other - Last Name:ENCARNACION
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LPC, NCC
Mailing Address - Street 1:6371 WINSTEAD CT
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-3350
Mailing Address - Country:US
Mailing Address - Phone:630-449-2904
Mailing Address - Fax:
Practice Address - Street 1:29 S WEBSTER ST # 290C
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-5356
Practice Address - Country:US
Practice Address - Phone:630-449-2904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-26
Last Update Date:2023-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178012671101YM0800X
IL180013018101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health