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Mrs. Tina Marie Caputa
Mental Health Counselor in Waukegan, Illinois
NPI 1417220336

Tina Marie Caputa is a Mental Health Counselor based in Waukegan, IL and is specialized in Mental Health. Tina Marie Caputa practices in Waukegan, IL. The NPI Number for Tina Marie Caputa is 1417220336 and holds a License No. (Illinois).

The current practice location address for Tina Marie Caputa is 3010 Grand Ave, Waukegan, IL and can be reached out via phone at 847-377-8319.

Location: 3010 Grand Ave, Waukegan, IL, 60085-2321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417220336
Provider Name
Tina Marie Caputa
Credential
Provider Entity Type
Individual
Gender
Female
Address
3010 Grand Ave, Waukegan, IL, 60085-2321
Phone Number
847-377-8319
Fax Number
Provider Enumeration Date
02/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3010 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-2321
Phone Number
847-377-8319
Fax Number
person
Provider Business Mailing Address Details
Address
3010 Grand Ave
City
Waukegan
State
Illinois
Zip
60085-2321
Phone Number
847-377-8319
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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