Provider Demographics
NPI:1568678167
Name:HULSLANDER, CARLA LYNN (MA, LCPC)
Entity Type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:LYNN
Last Name:HULSLANDER
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 CARY WOODS CIR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-2069
Mailing Address - Country:US
Mailing Address - Phone:847-682-4782
Mailing Address - Fax:
Practice Address - Street 1:120 W EASTMAN ST
Practice Address - Street 2:STE. 305
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-5937
Practice Address - Country:US
Practice Address - Phone:847-682-4782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178-003519101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional