Provider Demographics
NPI:1679164461
Name:UMBRIACO, KATE (LPC)
Entity Type:Individual
Prefix:MS
First Name:KATE
Middle Name:
Last Name:UMBRIACO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9311 S 86TH CT
Mailing Address - Street 2:
Mailing Address - City:HICKORY HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60457-1707
Mailing Address - Country:US
Mailing Address - Phone:708-408-0003
Mailing Address - Fax:
Practice Address - Street 1:241 S FRONTAGE RD STE 36
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-6169
Practice Address - Country:US
Practice Address - Phone:630-974-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178014297101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional