Candina Crane, MA, LPC

Individual provider Active NPI Professional Counselor · Elgin, IL

NPI 1326417601 · NPPES record last updated Sep 17, 2015

Key facts

NPI
1326417601
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
178009452 (IL)
Practice address
1140 N McLean Blvd
Elgin, IL 60123
Phone
(630) 765-0152
Fax
(847) 695-4552
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178009452ILMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178009452 IL Yes

Addresses

Primary practice location

1140 N McLean Blvd
Elgin, IL 60123

Mailing address

1140 N McLean Blvd
Elgin, IL 60123
Phone (630) 765-0152

Other identifiers

IdentifierTypeStateIssuer
178009452MedicaidIL

Other providers in Elgin, IL

All providers in Elgin, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.