Doctor Name: | NICHOLAS BRIGAGLIANO |
NPI Number: | 1851784375 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 180.009556 |
Business Practice Address: | 500 Coventry Ln Ste 205 Crystal Lake, IL - 600147555 |
Business Phone Number: | 8154557100 |
Business Fax Number: | |
Mailing Address: | 4140 N Pheasant Trail Ct Unit 7, ARLINGTON HEIGHTS |
State: | IL |
Postal Code: | 600047992 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/08/2015 |
NPI Last Update Date: | 03/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 180.009556 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |