Provider Demographics
NPI:1689236259
Name:FERRERI, BIANCA MARIA (LPC)
Entity Type:Individual
Prefix:
First Name:BIANCA
Middle Name:MARIA
Last Name:FERRERI
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 1:3590 HOBSON RD STE 401
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-1492
Mailing Address - Country:US
Mailing Address - Phone:630-968-0792
Mailing Address - Fax:
Practice Address - Street 1:3590 HOBSON RD STE 401
Practice Address - Street 2:
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-1492
Practice Address - Country:US
Practice Address - Phone:630-968-0792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-03
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178014684101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty