Provider Demographics
NPI:1811095169
Name:JOHNSON, SHERYL LYNN (MA LCPC)
Entity type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:LYNN
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MA LCPC
Other - Prefix:MS
Other - First Name:SHERYL
Other - Middle Name:LYNN
Other - Last Name:FRANZEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:755 ELA RD
Mailing Address - Street 2:STE A
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047
Mailing Address - Country:US
Mailing Address - Phone:847-550-0395
Mailing Address - Fax:847-550-9780
Practice Address - Street 1:755 ELA RD
Practice Address - Street 2:STE A
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047
Practice Address - Country:US
Practice Address - Phone:847-550-0395
Practice Address - Fax:847-550-9780
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
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