Provider Demographics
NPI:1619007952
Name:VELDHUIZEN, SARA E (LPC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:E
Last Name:VELDHUIZEN
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 1:227 NAUVOO ST
Mailing Address - Street 2:
Mailing Address - City:PARK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60466-2453
Mailing Address - Country:US
Mailing Address - Phone:708-532-6951
Mailing Address - Fax:708-532-6952
Practice Address - Street 1:227 NAUVOO ST
Practice Address - Street 2:
Practice Address - City:PARK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60466-2453
Practice Address - Country:US
Practice Address - Phone:708-532-6951
Practice Address - Fax:708-532-6952
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional