Provider Demographics
NPI:1346766250
Name:FASH COUNSELING INC.
Entity Type:Organization
Organization Name:FASH COUNSELING INC.
Other - Org Name:FASH COUNSELING INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:FASH
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-410-9578
Mailing Address - Street 1:684 W BOUGHTON RD STE 106
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-1781
Mailing Address - Country:US
Mailing Address - Phone:630-410-9578
Mailing Address - Fax:630-296-0749
Practice Address - Street 1:684 W BOUGHTON RD STE 106
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-1781
Practice Address - Country:US
Practice Address - Phone:630-410-9578
Practice Address - Fax:630-296-0749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IL180008047251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1508401209OtherSOCIAL WORK
IL1104488980OtherCLINICAL PSYCHOLOGY
IL1255666707OtherBEHAVIORAL HEALTH