Provider Demographics
NPI:1811027824
Name:MANDELL-KIPNIS, ABBY (LCPC)
Entity Type:Individual
Prefix:MS
First Name:ABBY
Middle Name:
Last Name:MANDELL-KIPNIS
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 1:200 W HIGGINS RD STE 316
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60195-3734
Mailing Address - Country:US
Mailing Address - Phone:847-541-2233
Mailing Address - Fax:
Practice Address - Street 1:200 W HIGGINS RD STE 316
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60195-3734
Practice Address - Country:US
Practice Address - Phone:847-541-2233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health