| Doctor Name: | MRS. JAN CATHY LICHT |
| NPI Number: | 1023169695 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LCPC, CADC |
| License Number: | 180-003006 |
| Business Practice Address: | 29w522 Batavia Rd Suite 1 Warrenville, IL - 605552007 |
| Business Phone Number: | 6306615936 |
| Business Fax Number: | |
| Mailing Address: | 2904 Portage St, NAPERVILLE |
| State: | IL |
| Postal Code: | 605646013 |
| Phone Number: | 6306615936 |
| Fax Number: | |
| NPI Enumeration Date: | 01/12/2007 |
| NPI Last Update Date: | 03/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180-003006 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |