Provider Demographics
NPI:1578961108
Name:PFLUEGER, SARA (LCPC, CADC)
Entity Type:Individual
Prefix:MISS
First Name:SARA
Middle Name:
Last Name:PFLUEGER
Suffix:
Gender:F
Credentials:LCPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 W LELAND AVE
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-7043
Mailing Address - Country:US
Mailing Address - Phone:773-334-7117
Mailing Address - Fax:773-334-7277
Practice Address - Street 1:1207 W LELAND AVE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-7043
Practice Address - Country:US
Practice Address - Phone:773-334-7117
Practice Address - Fax:773-334-7277
Is Sole Proprietor?:No
Enumeration Date:2014-12-14
Last Update Date:2014-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL28684101YA0400X
IL180.008488101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)