Provider Demographics
NPI:1790336071
Name:APPEL, CARLENE (MDIV, PC, SCC, CERC)
Entity Type:Individual
Prefix:
First Name:CARLENE
Middle Name:
Last Name:APPEL
Suffix:
Gender:F
Credentials:MDIV, PC, SCC, CERC
Other - Prefix:
Other - First Name:REV. CARLENE
Other - Middle Name:
Other - Last Name:APPEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MDIV, PC, SCC, CERC
Mailing Address - Street 1:256 FREMONT CT
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-1818
Mailing Address - Country:US
Mailing Address - Phone:630-557-6229
Mailing Address - Fax:630-491-1594
Practice Address - Street 1:256 FREMONT CT
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1818
Practice Address - Country:US
Practice Address - Phone:630-557-6229
Practice Address - Fax:630-491-1594
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty