Provider Demographics
NPI:1245503655
Name:HAUGHT, STEVEN MAX (LCPC, CEAP, CAADC)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:MAX
Last Name:HAUGHT
Suffix:
Gender:M
Credentials:LCPC, CEAP, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 S EAST AVE
Mailing Address - Street 2:#1
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60304-2105
Mailing Address - Country:US
Mailing Address - Phone:708-408-5811
Mailing Address - Fax:708-386-5821
Practice Address - Street 1:1145 S EAST AVE
Practice Address - Street 2:#1
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60304-2105
Practice Address - Country:US
Practice Address - Phone:708-408-5811
Practice Address - Fax:708-386-5821
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL195101YA0400X
IL180.001596101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)