Provider Demographics
NPI:1780842237
Name:TRIPOLI, TERRE COHEN (LCPC)
Entity Type:Individual
Prefix:MS
First Name:TERRE
Middle Name:COHEN
Last Name:TRIPOLI
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 S MILWAUKEE AVE
Mailing Address - Street 2:SUITE 512
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-3764
Mailing Address - Country:US
Mailing Address - Phone:847-921-4151
Mailing Address - Fax:
Practice Address - Street 1:1580 S MILWAUKEE AVE
Practice Address - Street 2:SUITE 512
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-3764
Practice Address - Country:US
Practice Address - Phone:847-921-4151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006764101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional