Mcconnell, Catherine Anne

Mcconnell, Catherine Anne is an individual health care provider with primary practice located at 420 W Grand Ave Bradley Counseling Center, Lake Villa IL 60046. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mcconnell, Catherine Anne can be contacted via phone (847) 356-3322.

Contact Information

Primary practice address
420 W Grand Ave Bradley Counseling Center Lake Villa IL 60046
Fax: (847) 356-2360
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1013061761
LBN Legal business name Mcconnell, Catherine Anne
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013061761 NPPES
Illinois Other 7192312 AETNA
Illinois Other 342856 AETNA

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