Provider Demographics
NPI:1912914664
Name:CAMPION, MIHAELA (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:MIHAELA
Middle Name:
Last Name:CAMPION
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 1:930 W CUYLER AVE
Mailing Address - Street 2:1E
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-2449
Mailing Address - Country:US
Mailing Address - Phone:773-348-4842
Mailing Address - Fax:
Practice Address - Street 1:5054 N SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-3118
Practice Address - Country:US
Practice Address - Phone:773-506-8971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health