Provider Demographics
NPI:1073795084
Name:KAUFMAN, SHARON L (LCPC)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:L
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:849 N FRANKLIN ST
Mailing Address - Street 2:UNIT 814
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-4485
Mailing Address - Country:US
Mailing Address - Phone:312-280-9688
Mailing Address - Fax:312-280-9689
Practice Address - Street 1:849 N FRANKLIN ST
Practice Address - Street 2:UNIT 814
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-3477
Practice Address - Country:US
Practice Address - Phone:312-280-9688
Practice Address - Fax:312-280-9689
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional