Provider Demographics
NPI:1851848246
Name:CAUGHEL, JAMES (LCPC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:CAUGHEL
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 1:5756 N RIDGE AVE STE 13
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-5333
Mailing Address - Country:US
Mailing Address - Phone:773-234-2960
Mailing Address - Fax:
Practice Address - Street 1:5756 N RIDGE AVE STE 13
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-5333
Practice Address - Country:US
Practice Address - Phone:773-234-2960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-02
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IL180011961101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health