Provider Demographics
NPI:1811376783
Name:GUZIEC, STEPHEN (LCPC)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:GUZIEC
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 FREED RD
Mailing Address - Street 2:
Mailing Address - City:SYCAMORE
Mailing Address - State:IL
Mailing Address - Zip Code:60178-8646
Mailing Address - Country:US
Mailing Address - Phone:630-677-2070
Mailing Address - Fax:
Practice Address - Street 1:1435 FREED RD
Practice Address - Street 2:
Practice Address - City:SYCAMORE
Practice Address - State:IL
Practice Address - Zip Code:60178-8646
Practice Address - Country:US
Practice Address - Phone:630-677-2070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-26
Last Update Date:2024-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178-010954101Y00000X
IL180016256101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor