Provider Demographics
NPI:1982359303
Name:JUSZCZYK, KATHERINE MARGARET (LPC)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:MARGARET
Last Name:JUSZCZYK
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 1:5520 115TH ST APT 202
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-7121
Mailing Address - Country:US
Mailing Address - Phone:708-606-0040
Mailing Address - Fax:
Practice Address - Street 1:5112 FOREST AVE
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-4608
Practice Address - Country:US
Practice Address - Phone:331-903-6101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.013992101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health