Provider Demographics
NPI:1073701868
Name:TONCY, NANCY M (LCPC, ADTR)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:M
Last Name:TONCY
Suffix:
Gender:F
Credentials:LCPC, ADTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4336 N HERMITAGE AVE
Mailing Address - Street 2:#3E
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-1123
Mailing Address - Country:US
Mailing Address - Phone:773-957-6879
Mailing Address - Fax:773-583-9410
Practice Address - Street 1:1619 W MONTROSE AVE
Practice Address - Street 2:CHICAGO HOLISTIC MEDICINE
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-1213
Practice Address - Country:US
Practice Address - Phone:773-957-6879
Practice Address - Fax:773-583-9410
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-05
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor