Susan Charles, LCPC Valid NPI
Individual provider · Professional Counselor · Crystal Lake, IL
- NPI
- 1023434800
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 180008032 (IL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2014-03-17
- Last updated
- 2014-03-17
Practice location
610 Crystal Point Dr Ste 3
Crystal Lake, IL 60014-1400
(815) 981-1979