Provider Demographics
NPI:1942950563
Name:LAMB, SARAH KATHERINE VINCENT (LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:KATHERINE VINCENT
Last Name:LAMB
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 1:1224 W BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-9828
Mailing Address - Country:US
Mailing Address - Phone:847-256-7334
Mailing Address - Fax:
Practice Address - Street 1:1224 W BELMONT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-9828
Practice Address - Country:US
Practice Address - Phone:847-256-7334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-26
Last Update Date:2022-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.017893101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional