Breakthroughs Lake County
Organization Active NPI Professional Counselor · Lindenhurst, IL
NPI 1629513627 · NPPES record last updated Dec 29, 2016
Key facts
- NPI
- 1629513627
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 178.012232 (IL)
- Legal business name
- BREAKTHROUGHS LAKE COUNTY
- Practice address
- 2402 Deerpath Dr
Lindenhurst, IL 60046-9074 - Phone
- (847) 913-6212
- NPI assigned
- Dec 29, 2016
- Organization subpart
- No
Authorized official
- Name
- Jessica C Goschy, LPC
- Title
- Owner
- Phone
- (847) 913-6212
Practitioners 1
-
Jessica Goschy, LPC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 178.012232 | IL | Yes |
Addresses
Primary practice location
2402 Deerpath Dr
Lindenhurst, IL 60046-9074
Mailing address
2402 Deerpath Dr
Lindenhurst, IL 60046-9074
Phone (847) 913-6212
Other providers in Lindenhurst, IL
- Kaycie Bardell
- Cathleen Ellen Bender
- Stephanie Bernardi
- Sheri Dionne Bochniak
- Abigail Jean Bradley
- Emilie Brennan
- Stephanie Brount
- Cristhian Ricardp Calle
- Diane Campbell
- Carbone CBT & Wellness LLC
All providers in Lindenhurst, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.