Healthcare Provider Details
I. General information
NPI: 1063687127
Provider Name (Legal Business Name): CHERYL L ZAABEL M.S., LCPC, CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/29/2008
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
113 E VAN BUREN AVE
NAPERVILLE IL
60540-4947
US
IV. Provider business mailing address
1337 DEERPATH CIR
AURORA IL
60506-8866
US
V. Phone/Fax
- Phone: 630-848-0445
- Fax: 630-848-0455
- Phone: 630-204-1663
- Fax: 630-907-0694
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 15296 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 180006895 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: