Healthcare Provider Details
I. General information
NPI: 1316850662
Provider Name (Legal Business Name): CATHERINE RYAN COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1119 OXFORD CIR
SYCAMORE IL
60178-1257
US
IV. Provider business mailing address
1119 OXFORD CIR
SYCAMORE IL
60178-1257
US
V. Phone/Fax
- Phone: 630-247-9586
- Fax:
- Phone: 630-247-9586
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MS.
CATHERINE
SCOTT
RYAN
Title or Position: OWNER
Credential: LCPC
Phone: 630-247-9586