Provider Demographics
NPI:1093181018
Name:SHELDON, LOUISE CLAIR (LCPC)
Entity Type:Individual
Prefix:MS
First Name:LOUISE
Middle Name:CLAIR
Last Name:SHELDON
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 1:58 CHICAGO RD
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-8611
Mailing Address - Country:US
Mailing Address - Phone:630-913-7045
Mailing Address - Fax:
Practice Address - Street 1:58 CHICAGO RD
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-8611
Practice Address - Country:US
Practice Address - Phone:630-913-7045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.007949101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health