Provider Demographics
NPI:1205062593
Name:VALENTINE, CATHERINE ANN (LCPC)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ANN
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:ANN
Other - Last Name:FROMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:37131 N GANSTER RD
Mailing Address - Street 2:
Mailing Address - City:BEACH PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60087-3162
Mailing Address - Country:US
Mailing Address - Phone:847-244-6992
Mailing Address - Fax:847-244-6992
Practice Address - Street 1:37131 N GANSTER RD
Practice Address - Street 2:
Practice Address - City:BEACH PARK
Practice Address - State:IL
Practice Address - Zip Code:60087-3162
Practice Address - Country:US
Practice Address - Phone:847-244-6992
Practice Address - Fax:847-244-6992
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-01
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006177101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional