Provider Demographics
NPI:1285089938
Name:PEREZ, CASSANDRA (MS, LCPC, LPC, NCC)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MS, LCPC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 HASSELL RD APT 309
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2241
Mailing Address - Country:US
Mailing Address - Phone:269-350-4593
Mailing Address - Fax:
Practice Address - Street 1:1051 PERIMETER DR STE 700
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5855
Practice Address - Country:US
Practice Address - Phone:269-350-4593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-02
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401015403101YP2500X, 101Y00000X
IL180015812101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL180015812OtherLICENSED CLINICAL PROFESSIONAL COUNSELOR
MI6401015403OtherPROF. COUNSELOR - EDUC. LTD - 10