Provider Demographics
NPI:1659081107
Name:SNOW LAKE COUNSELING PLLC
Entity Type:Organization
Organization Name:SNOW LAKE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCPC
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRANZONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-509-3113
Mailing Address - Street 1:2238 W OAKDALE AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-8002
Mailing Address - Country:US
Mailing Address - Phone:312-509-3113
Mailing Address - Fax:
Practice Address - Street 1:2238 W OAKDALE AVE APT 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-8002
Practice Address - Country:US
Practice Address - Phone:312-509-3113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-23
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty