Provider Demographics
NPI:1649924333
Name:CZARNECKI, ALEXIS MARIE (MA, LCPC)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:MARIE
Last Name:CZARNECKI
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2172 BLACKBERRY DR STE 205
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-1106
Mailing Address - Country:US
Mailing Address - Phone:630-765-3214
Mailing Address - Fax:
Practice Address - Street 1:2172 BLACKBERRY DR STE 205
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-1106
Practice Address - Country:US
Practice Address - Phone:630-765-3214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor