Provider Demographics
NPI:1831245828
Name:CRONIN, ABBIE LYNN (MA, LCPC)
Entity type:Individual
Prefix:
First Name:ABBIE
Middle Name:LYNN
Last Name:CRONIN
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 1:50 INDI ILLI PKWY
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46324-1444
Mailing Address - Country:US
Mailing Address - Phone:312-320-0929
Mailing Address - Fax:937-347-5406
Practice Address - Street 1:4611 N RAVENSWOOD AVE STE 105
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-7569
Practice Address - Country:US
Practice Address - Phone:773-201-0060
Practice Address - Fax:937-347-5406
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-002074101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional