ANN BREKKE LCPC - NPI 1528697364 - Counselor in Blue Island, IL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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About Ann Brekke Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANN BREKKE LCPC (NPI 1528697364) is an individual professional provider in Blue Island, Illinois, licensed in Illinois (180003884) and active in the NPI registry since April 2020. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1528697364

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameANN BREKKECredential: LCPC

Location Address12145 WESTERN AVEBlue Island, IL 60406-1387

Mailing Address12145 Western AveBlue Island, IL 60406-1387 · (773) 572-5389 · Fax (773) 432-6887

Phone(773) 572-5389

Fax(773) 432-6887

Sole ProprietorNo

Enumeration DateApril 3, 2020

NPPES CertifiedApril 3, 2020

✔ NPI 1528697364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 180003884

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 6014 (IL)

12145 WESTERN AVE, Blue Island, IL 60406

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Secondary Practice Location 1

Location 13015 W Harrison StChicago, IL 60612-3342 · Phone (773) 572-5389 · Fax (773) 432-6887

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN CAVANAUGH

Counselor (Professional)