Provider Demographics
NPI:1750805495
Name:KAPLAN, JOSHUA (LCPC)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:KAPLAN
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 1:1721 SEQUOIA TRL
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-2022
Mailing Address - Country:US
Mailing Address - Phone:847-710-8009
Mailing Address - Fax:
Practice Address - Street 1:6160 N CICERO AVE STE 305
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-4324
Practice Address - Country:US
Practice Address - Phone:773-932-9597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-02
Last Update Date:2019-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180011919101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health