Provider Demographics
NPI:1215432893
Name:BOGDAJEWICZ, BRITTANY V (LPC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:V
Last Name:BOGDAJEWICZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6150 N NORTHWEST HWY APT 4
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-2126
Mailing Address - Country:US
Mailing Address - Phone:847-749-8864
Mailing Address - Fax:
Practice Address - Street 1:3525 W PETERSON AVE STE 522
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-3317
Practice Address - Country:US
Practice Address - Phone:312-781-2850
Practice Address - Fax:847-972-6445
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178013406101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional