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NPI Code Detail

MEDICARE: DR. CRYSTAL S. ZANDERS PH.D, LCPC, NCC, ACS

MEDICARE: DR. CRYSTAL S. ZANDERS PH.D, LCPC, NCC, ACS
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
1101YM0800XMental Health Counselor180.008254IL

General Provider Information

NPI Number : 1811215619
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRYSTAL S. ZANDERS PH.D, LCPC, NCC, ACS
Provider Business Mailing Address
First Line : 1717 N NAPER BLVD STE 200
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-8838
Country : US
Telephone Number : 708-590-9405
Fax Number :
Provider Business Practice Location Address
First Line : 1717 N NAPER BLVD STE 200
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-8838
Country : US
Telephone Number : 708-590-9405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2010
Last Update Date : 10/20/2023

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