Provider Demographics
NPI:1518266766
Name:WILLIAMS, JANET A (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:A
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:839 CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-4285
Mailing Address - Country:US
Mailing Address - Phone:630-640-8100
Mailing Address - Fax:
Practice Address - Street 1:500 ROOSEVELT RD STE 205
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-2600
Practice Address - Country:US
Practice Address - Phone:630-640-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-26
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006826101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional