Healthcare Provider Details

I. General information

NPI: 1063539021
Provider Name (Legal Business Name): JOAN KAREN LOPINA LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15629 S ROUTE 59
PLAINFIELD IL
60544-2695
US

IV. Provider business mailing address

21451 PAPOOSE LAKE DR
CREST HILL IL
60435-1560
US

V. Phone/Fax

Practice location:
  • Phone: 815-436-2651
  • Fax:
Mailing address:
  • Phone: 815-439-5642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateIL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: