Provider Demographics
NPI:1558636233
Name:FARRAND, WILLIAM F (LCPC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:FARRAND
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5428 N WINTHROP AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-1706
Mailing Address - Country:US
Mailing Address - Phone:773-391-2709
Mailing Address - Fax:
Practice Address - Street 1:4250 N MARINE DR STE 230
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-6209
Practice Address - Country:US
Practice Address - Phone:773-644-1539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-14
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.006461101YP2500X
IL180.008647101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional