Provider Demographics
NPI:1285368530
Name:LA BARBERA, WHITNEY PAIGE
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:PAIGE
Last Name:LA BARBERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:CARPENTERSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60110-1704
Mailing Address - Country:US
Mailing Address - Phone:847-343-4817
Mailing Address - Fax:
Practice Address - Street 1:3380 LACROSSE LN STE 105
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-8528
Practice Address - Country:US
Practice Address - Phone:815-782-2277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.018070101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional