Provider Demographics
NPI:1669008272
Name:JABLONOWSKI, CAITLYN (LPC)
Entity type:Individual
Prefix:
First Name:CAITLYN
Middle Name:
Last Name:JABLONOWSKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CAITLYN
Other - Middle Name:
Other - Last Name:O'REILLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17 NORTON AVE
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439-3944
Mailing Address - Country:US
Mailing Address - Phone:630-303-0268
Mailing Address - Fax:
Practice Address - Street 1:2100 MANCHESTER RD STE 952
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-4649
Practice Address - Country:US
Practice Address - Phone:331-481-9294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-14
Last Update Date:2020-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.014933101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional