CHRISTIAN ASHLEY FEARS LCPC
NPI 1821623927
Counselor - Professional in Evergreen Park, IL
- Individual
- Female
- Counselor
- Professional
About CHRISTIAN FEARS
This page provides the complete NPI Profile along with additional information for Christian Fears, a provider established in Evergreen Park, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1821623927 assigned on March 2020. The practitioner's primary taxonomy code is 101YP2500X with license number 180-012624 (IL). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1821623927 Verify this NPI
- Provider Name
- CHRISTIAN ASHLEY FEARS LCPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 9730 S WESTERN AVE STE 500 EVERGREEN PARK, IL 60805
- Location Phone
- (708) 425-7337
- Location Fax
- (708) 636-3485
- Mailing Address
- 29373 NETWORK PL CHICAGO, IL 60673
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-09-2020
- Last Update Date
- 01-17-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 180-012624
- License State
- IL
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 180.012624 (IL) |
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
EVERGREEN PARK, IL 60805
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821623927, enumerated as an "individual" on March 09, 2020.
The provider is located at 9730 S WESTERN AVE STE 500 EVERGREEN PARK, IL 60805 and the phone number is (708) 425-7337.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
