Individual
BRENNA ROSE FRAYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1361 E LINCOLN HWY, NEW LENOX, IL 60451-2153
(815) 462-4273
Mailing address
862 N HERMITAGE AVE APT 1F, CHICAGO, IL 60622-5402
(708) 560-6980
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.013347
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178.013347
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
10/22/2018
Last updated
10/22/2018
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