Provider Demographics
NPI:1649152125
Name:NAWROT, JUSTINA KRYSTYNA (LCPC)
Entity type:Individual
Prefix:
First Name:JUSTINA
Middle Name:KRYSTYNA
Last Name:NAWROT
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 1:410 S WESTERN AVE UNIT 705
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-3461
Mailing Address - Country:US
Mailing Address - Phone:224-392-4157
Mailing Address - Fax:
Practice Address - Street 1:701 LEE ST STE 100
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-4543
Practice Address - Country:US
Practice Address - Phone:847-390-3004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.017336101YM0800X
IL180017336101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health