Provider Demographics
NPI:1811563448
Name:CYNTHIA L AVERS, MA, LCPC, PLLC
Entity Type:Organization
Organization Name:CYNTHIA L AVERS, MA, LCPC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:LOUSIE
Authorized Official - Last Name:AVERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-290-0501
Mailing Address - Street 1:1235 EDINBURGH CT
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-7706
Mailing Address - Country:US
Mailing Address - Phone:630-290-0501
Mailing Address - Fax:
Practice Address - Street 1:1235 EDINBURGH CT
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-7706
Practice Address - Country:US
Practice Address - Phone:630-290-0501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty