Provider Demographics
NPI:1326540634
Name:CIZINAUSKAS, HOLLY (LCPC)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:CIZINAUSKAS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:850 S MCHENRY AVE STE A
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-7442
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:850 S MCHENRY AVE STE A
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-7442
Practice Address - Country:US
Practice Address - Phone:847-913-0393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-02
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.012196101YP2500X
IL180.014998101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional