Provider Demographics
NPI:1265447064
Name:BUDZYNSKI, JOHN ANDREW (MA, LCPC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ANDREW
Last Name:BUDZYNSKI
Suffix:
Gender:M
Credentials:MA, LCPC
Other - Prefix:
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Mailing Address - Street 1:7124 WINDSOR LAKE PKWY
Mailing Address - Street 2:SUITE # 10
Mailing Address - City:LOVES PARK
Mailing Address - State:IL
Mailing Address - Zip Code:61111-3800
Mailing Address - Country:US
Mailing Address - Phone:815-633-8688
Mailing Address - Fax:815-633-8299
Practice Address - Street 1:7124 WINDSOR LAKE PKWY
Practice Address - Street 2:SUITE # 10
Practice Address - City:LOVES PARK
Practice Address - State:IL
Practice Address - Zip Code:61111-3800
Practice Address - Country:US
Practice Address - Phone:815-633-8688
Practice Address - Fax:815-633-8299
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional