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Provider Information for 1124387352


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Dr. CATHRYN PERFETTI PhD, LCPC


Sex: Female

NPI: 1124387352
Last Updated: 2020-11-30
Certification Date: 2020-11-30

Details

NameValue
NPI1124387352
Enumeration Date2012-05-08
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 265 STONEGATE RD STE 102
ALGONQUIN, IL 60102-5614
United States

Phone: 224-678-9180 | Fax:224-678-9369
 
Primary Practice Address 265 STONEGATE RD STE 102
ALGONQUIN, IL 60102-5614
United States

Phone: 224-678-9180 | Fax:224-678-9369
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthIL180.000332
Yes 101YP2500X - Counselor - ProfessionalIL180.000332