Provider Demographics
NPI:1063565885
Name:PAWELSKI, WENDY ANN (LCPC,CADC)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:ANN
Last Name:PAWELSKI
Suffix:
Gender:F
Credentials:LCPC,CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5576
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60567-5576
Mailing Address - Country:US
Mailing Address - Phone:630-527-5484
Mailing Address - Fax:630-527-5488
Practice Address - Street 1:120 SPALDING DR
Practice Address - Street 2:MOB II SUITE 408
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6508
Practice Address - Country:US
Practice Address - Phone:630-527-5484
Practice Address - Fax:630-527-5488
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL23376101YA0400X
IL180005919101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)