Provider Demographics
NPI:1740990456
Name:PROEBSTING, SUSAN (MA LPC)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:PROEBSTING
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:586 LARIUM LN
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60012-3376
Mailing Address - Country:US
Mailing Address - Phone:847-207-6599
Mailing Address - Fax:224-256-2649
Practice Address - Street 1:9 CRYSTAL LAKE RD STE 150
Practice Address - Street 2:
Practice Address - City:LAKE IN THE HILLS
Practice Address - State:IL
Practice Address - Zip Code:60156-1254
Practice Address - Country:US
Practice Address - Phone:815-496-0484
Practice Address - Fax:224-256-2649
Is Sole Proprietor?:No
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health