Basic Information
Provider Information
NPI: 1518288646
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RABIANSKI
FirstName: KATARZYNA
MiddleName: ANNA
NamePrefix:  
NameSuffix:  
Credential: M.A., LPC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6006 159TH ST BLDG C
Address2:  
City: OAK FOREST
State: IL
PostalCode: 604522904
CountryCode: US
TelephoneNumber: 7085357320
FaxNumber:  
Practice Location
Address1: 6006 159TH ST BLDG C
Address2:  
City: OAK FOREST
State: IL
PostalCode: 604522904
CountryCode: US
TelephoneNumber: 7085357320
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/11/2010
LastUpdateDate: 06/11/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X178.006692ILY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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