Provider Demographics
NPI:1801135330
Name:MEYER, CHRISTY DEANN (LCPC, CADC,NCC)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:DEANN
Last Name:MEYER
Suffix:
Gender:F
Credentials:LCPC, CADC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 S WASHINGTON ST
Mailing Address - Street 2:SUITE 27
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6795
Mailing Address - Country:US
Mailing Address - Phone:630-267-5432
Mailing Address - Fax:
Practice Address - Street 1:535 S WASHINGTON ST
Practice Address - Street 2:SUITE 27
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6795
Practice Address - Country:US
Practice Address - Phone:630-267-5432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-04
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180009896101YP2500X
IL18009896101YM0800X
IL33024101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)