Provider Demographics
NPI:1184813552
Name:FRENCH, PATRICIA ANN (LCPC, CADC)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANN
Last Name:FRENCH
Suffix:
Gender:F
Credentials:LCPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 595
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-0595
Mailing Address - Country:US
Mailing Address - Phone:847-530-1886
Mailing Address - Fax:847-438-3306
Practice Address - Street 1:228 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-3011
Practice Address - Country:US
Practice Address - Phone:847-530-1886
Practice Address - Fax:847-438-3306
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-22
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.005402101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4186OtherCADC
IL180.005402OtherLCPC