Individual provider · Type 1 NPI
Sara Vivens, LPC
Professional Counselor · Chicago, IL
NPI number
1245773845
Active
Practice location
5205 N Wayne Ave, Apt 2M
Chicago, IL 60640-2242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.011447 (IL) |
Professional Counselor: Definition to come...
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About NPI 1245773845
Sara Vivens, LPC's National Provider Identifier is 1245773845, issued on Nov 30, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Nov 30, 2016.