Provider Demographics
NPI:1093290124
Name:MARCHAND, NICHOLAS W (LCPC)
Entity Type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:W
Last Name:MARCHAND
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:MR
Other - First Name:NICHOLAS
Other - Middle Name:W
Other - Last Name:MARCHAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCPC
Mailing Address - Street 1:800 E NORTHWEST HWY STE 422
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-6510
Mailing Address - Country:US
Mailing Address - Phone:847-737-4344
Mailing Address - Fax:847-534-5146
Practice Address - Street 1:800 E NORTHWEST HWY STE 422
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-6510
Practice Address - Country:US
Practice Address - Phone:847-737-4344
Practice Address - Fax:847-534-5146
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-25
Last Update Date:2023-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.014894101YP2500X
IL180014253101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional