Provider Demographics
NPI:1811104615
Name:MAJKA, NICOLE A (LPC)
Entity type:Individual
Prefix:MISS
First Name:NICOLE
Middle Name:A
Last Name:MAJKA
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 1:520 BURNING TREE LN APT 105
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-2439
Mailing Address - Country:US
Mailing Address - Phone:630-416-9657
Mailing Address - Fax:
Practice Address - Street 1:13300 S ROUTE 59
Practice Address - Street 2:SUITE B4
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-9847
Practice Address - Country:US
Practice Address - Phone:815-577-7226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional