Provider Demographics
NPI:1538301361
Name:COMBER, EVELYN M (PHD, LCPC)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:M
Last Name:COMBER
Suffix:
Gender:F
Credentials:PHD, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1028 N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:ROCHELLE
Mailing Address - State:IL
Mailing Address - Zip Code:61068-1463
Mailing Address - Country:US
Mailing Address - Phone:815-661-5889
Mailing Address - Fax:
Practice Address - Street 1:1028 N 9TH ST
Practice Address - Street 2:
Practice Address - City:ROCHELLE
Practice Address - State:IL
Practice Address - Zip Code:61068-1463
Practice Address - Country:US
Practice Address - Phone:815-661-5889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-25
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180003898101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional