Provider Demographics
NPI:1548394885
Name:LINDGREN, ANNE (LCPC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:LINDGREN
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:PO BOX 1311
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-8311
Mailing Address - Country:US
Mailing Address - Phone:630-202-8141
Mailing Address - Fax:
Practice Address - Street 1:5 E COLLEGE DR
Practice Address - Street 2:SUITE 118
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1963
Practice Address - Country:US
Practice Address - Phone:630-202-8141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178004405101YP2500X
IL180006999101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health