Provider Demographics
NPI:1801128947
Name:LEDONNE, STAR A (LCPC)
Entity type:Individual
Prefix:
First Name:STAR
Middle Name:A
Last Name:LEDONNE
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 1:650 E DIEHL RD
Mailing Address - Street 2:STE 121
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-4801
Mailing Address - Country:US
Mailing Address - Phone:630-983-0600
Mailing Address - Fax:
Practice Address - Street 1:650 E DIEHL RD
Practice Address - Street 2:STE 121
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-4801
Practice Address - Country:US
Practice Address - Phone:630-983-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-30
Last Update Date:2010-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180000171101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional