Provider Demographics
NPI:1811130586
Name:ZAGRANS, JACQUELINE (LMFT, LPC)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:
Last Name:ZAGRANS
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4440 HARBOR CIR
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-1012
Mailing Address - Country:US
Mailing Address - Phone:330-472-4540
Mailing Address - Fax:
Practice Address - Street 1:18 E. DUNDEE RD
Practice Address - Street 2:BUILDING 4/SUITE 100
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010
Practice Address - Country:US
Practice Address - Phone:330-472-4540
Practice Address - Fax:847-220-9299
Is Sole Proprietor?:No
Enumeration Date:2009-04-10
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.000758106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist