Champagne, Mariette

Champagne, Mariette is an sole proprietor health care provider with primary practice located at 60 Revere Dr Suite 202, Northbrook IL 60062-1563. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Champagne, Mariette can be contacted via phone (847) 650-9701.

Contact Information

Primary practice address
60 Revere Dr Suite 202 Northbrook IL 60062-1563
Phone: (847) 650-9701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 31532 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149017947 Illinois

Profile Details

NPI number 1710347455
LBN Legal business name Champagne, Mariette
Credentials LCSW, CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2016
Last updated Feb 23rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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