Leon I Abbey, LCPC

Individual provider Active NPI Professional Counselor · Chicago, IL

NPI 1902675341 · NPPES record last updated Jan 15, 2024

Key facts

NPI
1902675341
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
3810 W 16TH St
Chicago, IL 60623-2034
Phone
(312) 725-9621
NPI assigned
Dec 27, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YP2500X Yes

Addresses

Primary practice location

3810 W 16TH St
Chicago, IL 60623-2034

Mailing address

2709 N Kilpatrick Ave
Chicago, IL 60639-1836
Phone (773) 332-6665

Other providers in Chicago, IL

All providers in Chicago, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.