Provider Demographics
NPI:1437980075
Name:CARDENAS SALAMANCA, MARIA FERNANDA (MA)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:FERNANDA
Last Name:CARDENAS SALAMANCA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 S MICHIGAN AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-2417
Mailing Address - Country:US
Mailing Address - Phone:773-780-1461
Mailing Address - Fax:
Practice Address - Street 1:24W611 PARKVIEW CT
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-3748
Practice Address - Country:US
Practice Address - Phone:312-802-8796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional