Healthcare Provider Details

I. General information

NPI: 1821543885
Provider Name (Legal Business Name): SALLY SECKER LCPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2016
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 FOX GLEN CT
BARRINGTON IL
60010-1833
US

IV. Provider business mailing address

550 FOX GLEN CT
BARRINGTON IL
60010-1833
US

V. Phone/Fax

Practice location:
  • Phone: 630-808-9241
  • Fax:
Mailing address:
  • Phone: 630-808-9241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180013874
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: