Healthcare Provider Details

I. General information

NPI: 1700821170
Provider Name (Legal Business Name): MAUREEN SAUVE-HANSEN LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 09/30/2020
Certification Date: 09/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 W DANIELS RD
PALATINE IL
60067-6102
US

IV. Provider business mailing address

244 W DANIELS RD
PALATINE IL
60067-6102
US

V. Phone/Fax

Practice location:
  • Phone: 847-485-1773
  • Fax:
Mailing address:
  • Phone: 847-485-1773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180-005716
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180005716
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: