Doctor Name: | SHERI LYNN O'BRIEN |
NPI Number: | 1326292079 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 180-0006679 |
Business Practice Address: | 880 E Oak St Ste 1 Lake In The Hills, IL - 601566181 |
Business Phone Number: | 8476591770 |
Business Fax Number: | 8476591772 |
Mailing Address: | 880 E Oak St Ste 1, LAKE IN THE HILLS |
State: | IL |
Postal Code: | 601566181 |
Phone Number: | 8476591770 |
Fax Number: | 8476591772 |
NPI Enumeration Date: | 11/07/2008 |
NPI Last Update Date: | 11/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 180-0006679 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |