Burlingame, Nicole L

Burlingame, Nicole L is an individual health care provider with primary practice located at 0S438 Melolane Rd , West Chicago IL 60185-3735. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Burlingame, Nicole L can be contacted via phone (847) 347-7812.

Contact Information

Primary practice address
0S438 Melolane Rd West Chicago IL 60185-3735
Phone: (847) 347-7812
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.016786 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MC61324701 Washington

Profile Details

NPI number 1043976111
LBN Legal business name Burlingame, Nicole L
Credentials LPC, LMHCA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2021
Last updated Sep 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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