Provider Demographics
NPI:1487374260
Name:BROTTMAN, FRANCINE PARADISE (LPC)
Entity type:Individual
Prefix:
First Name:FRANCINE
Middle Name:PARADISE
Last Name:BROTTMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 E MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-2373
Mailing Address - Country:US
Mailing Address - Phone:630-283-2880
Mailing Address - Fax:
Practice Address - Street 1:1650 E MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-2373
Practice Address - Country:US
Practice Address - Phone:630-283-2880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-31
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178020130101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional