Provider Demographics
NPI:1811215619
Name:ZANDERS, CRYSTAL S (PHD, LCPC, NCC, ACS)
Entity Type:Individual
Prefix:DR
First Name:CRYSTAL
Middle Name:S
Last Name:ZANDERS
Suffix:
Gender:F
Credentials:PHD, LCPC, NCC, ACS
Other - Prefix:
Other - First Name:CRYSTAL
Other - Middle Name:S
Other - Last Name:MADISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LCPC
Mailing Address - Street 1:1717 N NAPER BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8838
Mailing Address - Country:US
Mailing Address - Phone:708-590-9405
Mailing Address - Fax:
Practice Address - Street 1:1717 N NAPER BLVD STE 200
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8838
Practice Address - Country:US
Practice Address - Phone:708-590-9405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-04
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008254101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health