Provider Demographics
NPI:1952830200
Name:SEGOVIANO, BRITTNEY ANN (LCPC)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:ANN
Last Name:SEGOVIANO
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:686 OAKWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60177-3278
Mailing Address - Country:US
Mailing Address - Phone:847-400-6891
Mailing Address - Fax:
Practice Address - Street 1:686 OAKWOOD LN
Practice Address - Street 2:
Practice Address - City:SOUTH ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60177-3278
Practice Address - Country:US
Practice Address - Phone:847-400-6891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-09
Last Update Date:2024-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180010656101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty