Provider Demographics
NPI:1871223958
Name:KASPRAK, REGAN (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:REGAN
Middle Name:
Last Name:KASPRAK
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 W CHESTNUT ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3173
Mailing Address - Country:US
Mailing Address - Phone:773-217-9117
Mailing Address - Fax:
Practice Address - Street 1:522 W CHESTNUT ST STE 2A
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3173
Practice Address - Country:US
Practice Address - Phone:773-217-9117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2024-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor