Provider Demographics
NPI:1548366792
Name:SCHNOLL, TERRY LYNN (MA LCPC)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:LYNN
Last Name:SCHNOLL
Suffix:
Gender:F
Credentials:MA LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4831 N HERMITAGE AVE
Mailing Address - Street 2:#3B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640
Mailing Address - Country:US
Mailing Address - Phone:773-805-1196
Mailing Address - Fax:773-989-0155
Practice Address - Street 1:5820 W IRVING PARK RD
Practice Address - Street 2:VITAL REHABILITATION
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634
Practice Address - Country:US
Practice Address - Phone:773-685-8482
Practice Address - Fax:773-685-8479
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor