Provider Demographics
NPI:1477850808
Name:SPICZKA, CHERI (LCPC, LPC, MA)
Entity Type:Individual
Prefix:MRS
First Name:CHERI
Middle Name:
Last Name:SPICZKA
Suffix:
Gender:F
Credentials:LCPC, LPC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 LIONS DR STE 201
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-3175
Mailing Address - Country:US
Mailing Address - Phone:224-655-2655
Mailing Address - Fax:
Practice Address - Street 1:111 LIONS DR STE 201
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-3175
Practice Address - Country:US
Practice Address - Phone:847-696-6374
Practice Address - Fax:224-241-3172
Is Sole Proprietor?:No
Enumeration Date:2011-02-21
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1800006984101YM0800X
IL180006984101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health