Provider Demographics
NPI:1154598514
Name:PAPPAS, MARY CATHERINE (LCPC)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:CATHERINE
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1540 N STATE PKWY
Mailing Address - Street 2:#6D
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-1678
Mailing Address - Country:US
Mailing Address - Phone:312-787-5840
Mailing Address - Fax:312-787-5856
Practice Address - Street 1:500 N MICHIGAN AVE
Practice Address - Street 2:SUITE #1520
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3777
Practice Address - Country:US
Practice Address - Phone:312-787-5840
Practice Address - Fax:312-787-5856
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.004186101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional