Provider Demographics
NPI:1518515675
Name:SAPPENFIELD, GABRIELLE (LPC)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:SAPPENFIELD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18324 ASHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-3403
Mailing Address - Country:US
Mailing Address - Phone:708-762-0960
Mailing Address - Fax:
Practice Address - Street 1:18324 ASHLAND AVE
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-3403
Practice Address - Country:US
Practice Address - Phone:708-762-0960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-30
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180014857101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health