Doctor Name: | CATHERINE L VANEYCKE |
NPI Number: | 1962639310 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, CADC, CDVP |
License Number: | 2002 073 |
Business Practice Address: | 514 Market Loop Suite 104 West Dundee, IL - 601182148 |
Business Phone Number: | 6304002506 |
Business Fax Number: | |
Mailing Address: | 5825 Farnham Ct, HANOVER PARK |
State: | IL |
Postal Code: | 601335305 |
Phone Number: | 6304002506 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2009 |
NPI Last Update Date: | 10/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2002 073 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |