Provider Demographics
NPI:1235785171
Name:ALBERT, MICHELE PICCOZZI (LPC)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:PICCOZZI
Last Name:ALBERT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:924 SHILOH CIR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-7114
Mailing Address - Country:US
Mailing Address - Phone:630-670-5060
Mailing Address - Fax:
Practice Address - Street 1:5117B MAIN ST STE 15
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-4602
Practice Address - Country:US
Practice Address - Phone:630-506-1491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-15
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178015104101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional