Healthcare Provider Details

I. General information

NPI: 1447817960
Provider Name (Legal Business Name): NORTH STAR COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2019
Last Update Date: 05/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 PARK AVE # LL6
BARRINGTON IL
60010-4370
US

IV. Provider business mailing address

135 PARK AVE # LL6
BARRINGTON IL
60010-4370
US

V. Phone/Fax

Practice location:
  • Phone: 872-307-0071
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ABBEY ASLANIAN
Title or Position: CLINICAL PSYCHOLOGIST/PARTNER
Credential: PSYD
Phone: 872-307-0071