Provider Demographics
NPI:1366011991
Name:ROBLES, BRIANNA (LPC)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:ROBLES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 E WACKER DR STE 550
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-2005
Mailing Address - Country:US
Mailing Address - Phone:773-253-1900
Mailing Address - Fax:
Practice Address - Street 1:1 E WACKER DR STE 550
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-2005
Practice Address - Country:US
Practice Address - Phone:773-253-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.016843101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional