Provider Demographics
NPI:1558848242
Name:LAGATTOLLA, JOANNE BARBARA (LCPC)
Entity type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:BARBARA
Last Name:LAGATTOLLA
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 1:1226 S NEW WILKE RD APT 104
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-2955
Mailing Address - Country:US
Mailing Address - Phone:847-346-7931
Mailing Address - Fax:
Practice Address - Street 1:1740 RIDGE AVE STE 109
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-5903
Practice Address - Country:US
Practice Address - Phone:888-726-7170
Practice Address - Fax:847-492-1255
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-25
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.00506101YM0800X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health