Provider Demographics
NPI:1184873150
Name:SAFRON-CHIU, SARAH R (LCPC)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:R
Last Name:SAFRON-CHIU
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 1:3518 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60203-1822
Mailing Address - Country:US
Mailing Address - Phone:773-225-5677
Mailing Address - Fax:
Practice Address - Street 1:2550 CRAWFORD AVE STE 8
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4986
Practice Address - Country:US
Practice Address - Phone:773-225-5677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-15
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006564101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional