Provider Demographics
NPI:1508180092
Name:SLAWINSKI, JOAN TERESA (LCPC)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:TERESA
Last Name:SLAWINSKI
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 1:17028 JUDY CT
Mailing Address - Street 2:
Mailing Address - City:OAK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60452-4475
Mailing Address - Country:US
Mailing Address - Phone:708-805-5608
Mailing Address - Fax:
Practice Address - Street 1:9651 W 153RD ST
Practice Address - Street 2:STE. 54
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-3773
Practice Address - Country:US
Practice Address - Phone:708-805-5608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-26
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008833101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional