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NPI Code Detail

MEDICARE: SARAH PEARSON LPC

MEDICARE: SARAH PEARSON LPC
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
1101YP2500XProfessional Counselor178.012611IL

General Provider Information

NPI Number : 1922505510
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH PEARSON LPC
Provider Business Mailing Address
First Line : 6616 W SCHREIBER AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60631-2020
Country : US
Telephone Number : 847-823-7334
Fax Number :
Provider Business Practice Location Address
First Line : 15127 S 73RD AVE STE C
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-3463
Country : US
Telephone Number : 708-586-9309
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2018
Last Update Date : 04/10/2018

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Directions to “ SARAH PEARSON LPC” Practice Location

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