Provider Demographics
NPI:1629422852
Name:RABIDEAU, NICOLE J (LCPC, CADC)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:J
Last Name:RABIDEAU
Suffix:
Gender:F
Credentials:LCPC, CADC
Other - Prefix:MS
Other - First Name:NICOLE
Other - Middle Name:J
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC, CADC
Mailing Address - Street 1:797 S SPRING RD
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-4723
Mailing Address - Country:US
Mailing Address - Phone:773-251-2565
Mailing Address - Fax:
Practice Address - Street 1:1414 MAIN ST
Practice Address - Street 2:
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-3902
Practice Address - Country:US
Practice Address - Phone:708-681-0073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health