Provider Demographics
NPI:1831213347
Name:LOCASCIO, PETER P (LCPC)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:P
Last Name:LOCASCIO
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 1:1506 DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-4586
Mailing Address - Country:US
Mailing Address - Phone:630-901-3237
Mailing Address - Fax:
Practice Address - Street 1:510 S BATAVIA AVE STE 102
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-2902
Practice Address - Country:US
Practice Address - Phone:630-901-3237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.004559101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional