Provider Demographics
NPI:1740627660
Name:BROTZ, VALERIE J (LPC)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:J
Last Name:BROTZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E DUNDEE RD
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-2806
Mailing Address - Country:US
Mailing Address - Phone:224-587-5358
Mailing Address - Fax:847-991-7284
Practice Address - Street 1:201 E DUNDEE RD
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-2806
Practice Address - Country:US
Practice Address - Phone:224-587-5358
Practice Address - Fax:847-991-7284
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-01
Last Update Date:2013-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.006552101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional