Provider Demographics
NPI:1396871836
Name:STRAUBE, CHRISTIAN ERIC (PHD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:ERIC
Last Name:STRAUBE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5435 BULL VALLEY RD
Mailing Address - Street 2:124
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-7434
Mailing Address - Country:US
Mailing Address - Phone:815-385-5903
Mailing Address - Fax:815-385-5612
Practice Address - Street 1:5435 BULL VALLEY RD
Practice Address - Street 2:124
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-7434
Practice Address - Country:US
Practice Address - Phone:815-385-5903
Practice Address - Fax:815-385-5612
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
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