Ms. Carolyn Wassberg Manley
Mental Health Counselor
10735 S Cicero Ave
Oak Lawn
, Illinois 60453-5400
Ms. Carolyn Wassberg Manley
Mental Health Counselor
10735 S Cicero Ave
Oak Lawn
, Illinois 60453-5400
(708) 499-4041
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Ms. Carolyn Wassberg Manley
- 10735 S Cicero Ave
- Oak Lawn, IL
- Zip : 60453-5400
- Phone : (708) 499-4041
Second Address
- Ms. Carolyn Wassberg Manley
- 10735 S Cicero Ave
- Oak Lawn, IL
- Zip : 60453-5400
- Phone : (708) 499-4041
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | 180.001703 | IL |
National Provider Identifier
| NPI | 1003123993 |
|---|---|
| Provider Name | Ms. Carolyn Wassberg Manley |
| First Address | Oak Lawn, IL 60453-5400 |
| Second Address | Oak Lawn, IL 60453-5400 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2010 |
| Last Update Date | 13/09/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.