Provider Demographics
NPI:1407129729
Name:BAKRE, SWATI SUJIT (LPC)
Entity Type:Individual
Prefix:MS
First Name:SWATI
Middle Name:SUJIT
Last Name:BAKRE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SWATI
Other - Middle Name:V
Other - Last Name:HONWAD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:721 S. QUENTIN RD.
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067
Mailing Address - Country:US
Mailing Address - Phone:847-485-3071
Mailing Address - Fax:847-359-7525
Practice Address - Street 1:721 S QUENTIN ROAD
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067
Practice Address - Country:US
Practice Address - Phone:847-359-7490
Practice Address - Fax:847-359-7525
Is Sole Proprietor?:No
Enumeration Date:2012-02-16
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.007246101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor