Provider Demographics
NPI:1114586807
Name:CASH, NATHAN (LCPC)
Entity type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:
Last Name:CASH
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:MR
Other - First Name:NATHAN
Other - Middle Name:
Other - Last Name:CASH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCPC
Mailing Address - Street 1:1440 RENAISSANCE DR STE 125
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1414
Mailing Address - Country:US
Mailing Address - Phone:224-585-3312
Mailing Address - Fax:
Practice Address - Street 1:1440 RENAISSANCE DR STE 125
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1414
Practice Address - Country:US
Practice Address - Phone:224-585-3312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.012104101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional