Provider Demographics
NPI:1548824543
Name:CIPRIANO, KAREN (LCPC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:CIPRIANO
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:739 S YALE AVE
Mailing Address - Street 2:
Mailing Address - City:VILLA PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60181-2875
Mailing Address - Country:US
Mailing Address - Phone:630-272-0106
Mailing Address - Fax:
Practice Address - Street 1:1000 JORIE BLVD STE 48
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-4498
Practice Address - Country:US
Practice Address - Phone:630-272-0106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-24
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180012197101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health