Healthcare Provider Details

I. General information

NPI: 1144155094
Provider Name (Legal Business Name): CYNTHIA BRAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1952 MC DOWELL RD STE 305
NAPERVILLE IL
60563-6507
US

IV. Provider business mailing address

1952 MC DOWELL RD STE 305
NAPERVILLE IL
60563-6507
US

V. Phone/Fax

Practice location:
  • Phone: 630-289-1022
  • Fax: 630-289-1023
Mailing address:
  • Phone: 630-289-1022
  • Fax: 630-289-1023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178018610
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: