Provider Demographics
NPI:1821346388
Name:ALTMAN, DEBORAH (LCPC, NCC)
Entity Type:Individual
Prefix:MISS
First Name:DEBORAH
Middle Name:
Last Name:ALTMAN
Suffix:
Gender:F
Credentials:LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 N. CLARK
Mailing Address - Street 2:#303
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-5467
Mailing Address - Country:US
Mailing Address - Phone:773-234-2271
Mailing Address - Fax:
Practice Address - Street 1:1030 N. CLARK
Practice Address - Street 2:#303
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-5467
Practice Address - Country:US
Practice Address - Phone:773-234-2271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-15
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008096101YM0800X
IL2346914101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL180.009096OtherDEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL240236OtherNATIONAL BOARD OF CERTIFIED COUNSELORS