Provider Demographics
NPI:1619379401
Name:RIBOH, ARIELE L (LCPC, NCC, BC-DMT)
Entity Type:Individual
Prefix:
First Name:ARIELE
Middle Name:L
Last Name:RIBOH
Suffix:
Gender:F
Credentials:LCPC, NCC, BC-DMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1590 S MILWAUKEE AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-3748
Mailing Address - Country:US
Mailing Address - Phone:847-607-1862
Mailing Address - Fax:
Practice Address - Street 1:1590 S MILWAUKEE AVE STE 101
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-3748
Practice Address - Country:US
Practice Address - Phone:847-607-1862
Practice Address - Fax:847-495-2709
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional