Provider Demographics
NPI:1659701514
Name:HOBEN, SUSANNE (MA, LCPC)
Entity type:Individual
Prefix:
First Name:SUSANNE
Middle Name:
Last Name:HOBEN
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:SUSANNE
Other - Middle Name:
Other - Last Name:HAYDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16453 N 1150TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:HUTSONVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62433-2701
Mailing Address - Country:US
Mailing Address - Phone:815-545-7378
Mailing Address - Fax:
Practice Address - Street 1:1508 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ROBINSON
Practice Address - State:IL
Practice Address - Zip Code:62454-3819
Practice Address - Country:US
Practice Address - Phone:224-678-9180
Practice Address - Fax:224-678-9369
Is Sole Proprietor?:No
Enumeration Date:2013-11-13
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IL180.012219101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health