Healthcare Provider Details

I. General information

NPI: 1346064458
Provider Name (Legal Business Name): COURTNEY CECHINI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2075 FOXFIELD RD STE 202
ST CHARLES IL
60174-1402
US

IV. Provider business mailing address

1150 SQUIRE DR
AURORA IL
60505-1132
US

V. Phone/Fax

Practice location:
  • Phone: 630-377-3535
  • Fax:
Mailing address:
  • Phone: 630-452-9643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: