Provider Demographics
NPI:1598802878
Name:WEINSTEIN, NOAH CHARLES (LCPC)
Entity Type:Individual
Prefix:MR
First Name:NOAH
Middle Name:CHARLES
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 E SAINT ANDREWS LN
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-5080
Mailing Address - Country:US
Mailing Address - Phone:312-513-1629
Mailing Address - Fax:847-236-1866
Practice Address - Street 1:98 E SAINT ANDREWS LN
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-5080
Practice Address - Country:US
Practice Address - Phone:312-513-1629
Practice Address - Fax:847-236-1866
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
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