Provider Demographics
NPI:1053514836
Name:PALINSKI, SHERYL ANN (LCPC)
Entity type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:ANN
Last Name:PALINSKI
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 1:407 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOURBONNAIS
Mailing Address - State:IL
Mailing Address - Zip Code:60914-1918
Mailing Address - Country:US
Mailing Address - Phone:815-939-1912
Mailing Address - Fax:815-936-9666
Practice Address - Street 1:407 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BOURBONNAIS
Practice Address - State:IL
Practice Address - Zip Code:60914-1918
Practice Address - Country:US
Practice Address - Phone:815-939-1912
Practice Address - Fax:815-936-9666
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional