Provider Demographics
NPI:1265440671
Name:SENN, SHEILA (LCPC)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:SENN
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 1:468 ROCKLAND RD
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-4120
Mailing Address - Country:US
Mailing Address - Phone:815-687-6955
Mailing Address - Fax:
Practice Address - Street 1:114 CARY ST
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:IL
Practice Address - Zip Code:60013-2706
Practice Address - Country:US
Practice Address - Phone:815-687-6955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2020-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-005067101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL180-005067OtherSTATE LICENSE
IL0005632124OtherBCBS