Provider Demographics
NPI:1992022404
Name:RASKEY, SARAH (LCPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:RASKEY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 N ELIZABETH ST
Mailing Address - Street 2:#2R
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-1900
Mailing Address - Country:US
Mailing Address - Phone:708-609-0926
Mailing Address - Fax:
Practice Address - Street 1:17 N ELIZABETH ST
Practice Address - Street 2:#2R
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-1900
Practice Address - Country:US
Practice Address - Phone:708-609-0926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-23
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006837101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor