Provider Demographics
NPI:1417467721
Name:ZINCK, ASHLYN JILL (LCPC)
Entity Type:Individual
Prefix:
First Name:ASHLYN
Middle Name:JILL
Last Name:ZINCK
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:ASHLYN
Other - Middle Name:JILL
Other - Last Name:PADEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1443 W WAVELAND AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-3727
Mailing Address - Country:US
Mailing Address - Phone:502-517-6054
Mailing Address - Fax:
Practice Address - Street 1:5145 N CLARK ST # 1061
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-2829
Practice Address - Country:US
Practice Address - Phone:502-517-6054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-02
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.013993101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional