Healthcare Provider Details

I. General information

NPI: 1801343272
Provider Name (Legal Business Name): JOSHUA SYMBAL LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2016
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 HUNTINGTON DR N
ALGONQUIN IL
60102-4419
US

IV. Provider business mailing address

1764 WOODHAVEN DR
CRYSTAL LAKE IL
60014-1940
US

V. Phone/Fax

Practice location:
  • Phone: 847-431-2098
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.018290
License Number StateIL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: