Provider Demographics
NPI:1841016979
Name:KARL SAFFRAN LCPC LLC
Entity type:Organization
Organization Name:KARL SAFFRAN LCPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARL
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:SAFFRAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:414-975-1384
Mailing Address - Street 1:1311 W WINNEMAC AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-2975
Mailing Address - Country:US
Mailing Address - Phone:414-975-1384
Mailing Address - Fax:
Practice Address - Street 1:1806 W CUYLER AVE STE 2K
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-2541
Practice Address - Country:US
Practice Address - Phone:312-210-7382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-22
Last Update Date:2024-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty