Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY SUSAN FIDALE, LCPC, RNC
Active Sole ProprietorMS. MARY SUSAN FIDALE, LCPC, RNC is a Professional Counselor healthcare provider located in LONG GROVE, Illinois. NPI 1023467420 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · LONG GROVE, IL
Registration Details
- NPI Number
- 1023467420
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 7, 2016 (10.041709781759 yrs)
- Last Updated
- Jun 7, 2016
- Licenses
-
180.003182 (IL)041.211850 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4160 RT 83 SUITE 206LONG GROVE, IL, 600479585Browse IL providers · Browse ZIP 60047
- Phone
- 8472176190
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Registered Nurse
Other Professional Counselor Providers in LONG GROVE, IL
| Name | Credential | NPI |
|---|---|---|
| MR. KEVIN E OCONNOR | MA | 1790792000 |
| MR. RAYMOND C. WUNDERLICH JR. | L.C.P.C. | 1912038910 |
| JOSEPH A RENGUSO | M.S., L.C.P.C. | 1740486083 |
| TAMARA HUBBARD | LCPC, CADC | 1528389913 |
| MS. LINDA TANDET | LCSW | 1003111329 |
| CARYN LISA GOLDBERG | LCPC | 1568905065 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.