MEDICARE: SUSAN HAARMAN LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor	180.016579	IL

General Provider Information

NPI Number	:	1801380878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN HAARMAN LCPC

Provider Business Mailing Address
First Line	:	1634 W COLUMBIA AVE APT 3S
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626-4166
Country	:	US
Telephone Number	:	502-727-2461
Fax Number	:

Provider Business Practice Location Address
First Line	:	1954 W IRVING PARK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-2408
Country	:	US
Telephone Number	:	773-414-4577
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2018
Last Update Date	:	08/15/2025

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Directions to “ SUSAN HAARMAN LCPC” Practice Location

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