Provider Demographics
NPI:1457547036
Name:LORANG, SHARON (LCPC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:LORANG
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 1:24040 W DIANA AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE VILLA
Mailing Address - State:IL
Mailing Address - Zip Code:60046-7249
Mailing Address - Country:US
Mailing Address - Phone:847-370-4721
Mailing Address - Fax:
Practice Address - Street 1:128 NEWBERRY AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-1923
Practice Address - Country:US
Practice Address - Phone:847-370-4721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor