Provider Demographics
NPI:1427253301
Name:ATCHISON, SUSAN LYNN (MA, LCPC, CHT)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:LYNN
Last Name:ATCHISON
Suffix:
Gender:F
Credentials:MA, LCPC, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 WINDMERE LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-6130
Mailing Address - Country:US
Mailing Address - Phone:847-370-5181
Mailing Address - Fax:847-359-5199
Practice Address - Street 1:870 E HIGGINS RD STE 140-D
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4787
Practice Address - Country:US
Practice Address - Phone:847-370-5181
Practice Address - Fax:847-359-5199
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional