Provider Demographics
NPI:1235415621
Name:CALHOUN, PERRY J (LPC)
Entity Type:Individual
Prefix:MR
First Name:PERRY
Middle Name:J
Last Name:CALHOUN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2343 177TH ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-1722
Mailing Address - Country:US
Mailing Address - Phone:773-720-6199
Mailing Address - Fax:708-585-6222
Practice Address - Street 1:3017 E 78TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-5395
Practice Address - Country:US
Practice Address - Phone:708-474-6603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-29
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178006161101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor