Provider Demographics
NPI:1053537720
Name:ORDONEZ, CARLA CRISTINA (PHD, LMFT)
Entity type:Individual
Prefix:DR
First Name:CARLA
Middle Name:CRISTINA
Last Name:ORDONEZ
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2603 S WASHINGTON ST
Mailing Address - Street 2:SUITE170
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-6370
Mailing Address - Country:US
Mailing Address - Phone:630-567-7215
Mailing Address - Fax:
Practice Address - Street 1:2603 S WASHINGTON ST
Practice Address - Street 2:SUITE170
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-6370
Practice Address - Country:US
Practice Address - Phone:630-567-7215
Practice Address - Fax:630-282-0427
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166-000601106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0009797616OtherAETNA
IL892815840OtherBLUE CROSS BLUE SHIELD