Provider Demographics
NPI:1942914940
Name:OHALE, UGOCHI A (LCPC)
Entity Type:Individual
Prefix:MS
First Name:UGOCHI
Middle Name:A
Last Name:OHALE
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 1:3952 W EDDY ST UNIT 2M
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-5066
Mailing Address - Country:US
Mailing Address - Phone:773-510-0730
Mailing Address - Fax:
Practice Address - Street 1:3952 W EDDY ST UNIT 2M
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-5066
Practice Address - Country:US
Practice Address - Phone:773-510-0730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180010174101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional