Provider Demographics
NPI:1982871232
Name:HOGUEISSON, KAROLINA (LCPC, NCC)
Entity Type:Individual
Prefix:
First Name:KAROLINA
Middle Name:
Last Name:HOGUEISSON
Suffix:
Gender:F
Credentials:LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 42
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462
Mailing Address - Country:US
Mailing Address - Phone:847-208-4223
Mailing Address - Fax:708-844-6069
Practice Address - Street 1:15020 S RAVINIA AVE STE 23
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462
Practice Address - Country:US
Practice Address - Phone:847-208-4223
Practice Address - Fax:708-844-6069
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2019-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
171R00000X
IL180007576101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171R00000XOther Service ProvidersInterpreter