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Contact Information

MARIETTE CHAMPAGNE, LCSW, CADC
60 REVERE DR
SUITE 202
NORTHBROOK, IL60062-1563
 Phone: 847-650-9701
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MARIETTE CHAMPAGNE · (Female)

NPI # 1710347455
Status Active
Credentials LCSW, CADC
Entity Individual
Enumeration date 02/23/2016
Last updated 02/23/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 149017947
  • IL License # 31532
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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