Provider Demographics
NPI:1750818464
Name:KALFAS, BRIANNE E (MA, LCPC)
Entity type:Individual
Prefix:MRS
First Name:BRIANNE
Middle Name:E
Last Name:KALFAS
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 N CHARLOTTE ST
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-1754
Mailing Address - Country:US
Mailing Address - Phone:815-207-1504
Mailing Address - Fax:
Practice Address - Street 1:2438 N WESTERN AVE APT 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-3989
Practice Address - Country:US
Practice Address - Phone:217-622-7983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-12
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.012629101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional