Provider Demographics
NPI:1972994838
Name:SALVESEN, SARI (MS)
Entity Type:Individual
Prefix:
First Name:SARI
Middle Name:
Last Name:SALVESEN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1935 BROOKDALE RD
Mailing Address - Street 2:SUITE # 119
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-2771
Mailing Address - Country:US
Mailing Address - Phone:630-717-9408
Mailing Address - Fax:630-778-9490
Practice Address - Street 1:1935 BROOKDALE RD
Practice Address - Street 2:STE 119
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-2771
Practice Address - Country:US
Practice Address - Phone:630-717-9408
Practice Address - Fax:630-778-9490
Is Sole Proprietor?:No
Enumeration Date:2015-02-13
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178009440101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional