Provider Demographics
NPI:1609391317
Name:PIPER, MARGARET ANN (MA, LCPC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:PIPER
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:A
Other - Last Name:PIPER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCPC
Mailing Address - Street 1:6121 N 9000E RD
Mailing Address - Street 2:
Mailing Address - City:GRANT PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60940-5375
Mailing Address - Country:US
Mailing Address - Phone:815-592-3412
Mailing Address - Fax:815-472-6567
Practice Address - Street 1:750 ALMAR PKWY STE 202
Practice Address - Street 2:
Practice Address - City:BOURBONNAIS
Practice Address - State:IL
Practice Address - Zip Code:60914-2399
Practice Address - Country:US
Practice Address - Phone:815-592-3412
Practice Address - Fax:815-472-6567
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-03
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.011051101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional