Provider Demographics
NPI:1568502227
Name:VELTMAN, JAMES M (LCPC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:VELTMAN
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 1:100 N. ATKINSON ROAD
Mailing Address - Street 2:SUITE 112-F
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030
Mailing Address - Country:US
Mailing Address - Phone:224-612-2031
Mailing Address - Fax:
Practice Address - Street 1:100 N. ATKINSON ROAD
Practice Address - Street 2:SUITE 112-F
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030
Practice Address - Country:US
Practice Address - Phone:224-612-2031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-000497101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional