Provider Demographics
NPI:1568489201
Name:SERNATINGER, MARIE-PIERRE (LCPC)
Entity Type:Individual
Prefix:MS
First Name:MARIE-PIERRE
Middle Name:
Last Name:SERNATINGER
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 1:1143 NEW TRIER CT
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-1032
Mailing Address - Country:US
Mailing Address - Phone:312-699-8579
Mailing Address - Fax:847-853-0165
Practice Address - Street 1:466 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-3041
Practice Address - Country:US
Practice Address - Phone:847-853-6144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health