Doctor Name: | SHERYL SIERAKOWSKI |
NPI Number: | 1265851679 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 178008184 |
Business Practice Address: | 930 Il Route 22 Fox River Grove, IL - 600211905 |
Business Phone Number: | 8478683435 |
Business Fax Number: | 8478595885 |
Mailing Address: | 175 E Hawthorn Pkwy, Suite 235 VERNON HILLS |
State: | IL |
Postal Code: | 600611463 |
Phone Number: | 8478683435 |
Fax Number: | 8478595885 |
NPI Enumeration Date: | 04/14/2014 |
NPI Last Update Date: | 04/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 178008184 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |