Provider Demographics
NPI:1801212394
Name:DOYLE-O'BRIEN, COURTNEY (LCPC)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:DOYLE-O'BRIEN
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 1:24735 W EAMES ST UNIT 11
Mailing Address - Street 2:
Mailing Address - City:CHANNAHON
Mailing Address - State:IL
Mailing Address - Zip Code:60410-8712
Mailing Address - Country:US
Mailing Address - Phone:815-353-3122
Mailing Address - Fax:
Practice Address - Street 1:24735 W EAMES ST UNIT 11
Practice Address - Street 2:
Practice Address - City:CHANNAHON
Practice Address - State:IL
Practice Address - Zip Code:60410-8712
Practice Address - Country:US
Practice Address - Phone:815-353-3122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-09
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.014670101YP2500X
IL178005989101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional