Healthcare Provider Details

I. General information

NPI: 1487837126
Provider Name (Legal Business Name): APRIL A LOCOCO LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2007
Last Update Date: 04/13/2024
Certification Date: 04/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2319 DAWSON LN
ALGONQUIN IL
60102-5986
US

IV. Provider business mailing address

2319 DAWSON LN
ALGONQUIN IL
60102-5986
US

V. Phone/Fax

Practice location:
  • Phone: 847-309-8445
  • Fax:
Mailing address:
  • Phone: 847-309-8445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number180.015867
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180.015867
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7418-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: