Provider Demographics
NPI:1275662199
Name:SPRINGER, DARLENE ANN (LCPC)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:ANN
Last Name:SPRINGER
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 1:324 EVERETT AVE
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-7163
Mailing Address - Country:US
Mailing Address - Phone:815-459-2220
Mailing Address - Fax:815-455-5239
Practice Address - Street 1:101 VIRGINIA AVE
Practice Address - Street 2:SUITE 160
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014
Practice Address - Country:US
Practice Address - Phone:815-529-3028
Practice Address - Fax:815-455-5239
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional