Provider Demographics
NPI:1619108750
Name:SINGH, JOY (LCPC)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:SINGH
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 1:2011 FESCUE DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-4308
Mailing Address - Country:US
Mailing Address - Phone:630-270-2061
Mailing Address - Fax:630-270-2161
Practice Address - Street 1:1717 N NAPER BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8802
Practice Address - Country:US
Practice Address - Phone:630-270-2061
Practice Address - Fax:630-270-2161
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180007305101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health