Provider Demographics
NPI:1780800060
Name:PERHAM, FRANK C (LCPC)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:C
Last Name:PERHAM
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 1:5901 N SHERIDAN RD
Mailing Address - Street 2:#6G
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-3616
Mailing Address - Country:US
Mailing Address - Phone:773-334-6514
Mailing Address - Fax:
Practice Address - Street 1:5901 N SHERIDAN RD
Practice Address - Street 2:#6G
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-3616
Practice Address - Country:US
Practice Address - Phone:773-334-6514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1409101YM0800X
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional