SearchIllinois101YP2500X

Sara Provis, LPC

NPI 1225800493 · on the registry since 2023 · sole proprietor

Practice

Address
1422 Laverne Ave
Park Ridge, IL 60068
Phone
(847) 529-8607

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois