Provider Demographics
NPI:1982759296
Name:LITTLEJOHN, PATRICK C (LCPC, NCC)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:C
Last Name:LITTLEJOHN
Suffix:
Gender:M
Credentials:LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 S STATE ST
Mailing Address - Street 2:SUITE 10
Mailing Address - City:BELVIDERE
Mailing Address - State:IL
Mailing Address - Zip Code:61008-3745
Mailing Address - Country:US
Mailing Address - Phone:815-298-4641
Mailing Address - Fax:815-544-3043
Practice Address - Street 1:521 S STATE ST
Practice Address - Street 2:SUITE 10
Practice Address - City:BELVIDERE
Practice Address - State:IL
Practice Address - Zip Code:61008-3745
Practice Address - Country:US
Practice Address - Phone:815-298-4641
Practice Address - Fax:815-544-3043
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
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