SALLY GAY STROSAHL LCPC
NPI 1619209079
Counselor - Professional in Oswego, IL
Active since February 09, 2010
About Sally Gay Strosahl Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALLY GAY STROSAHL LCPC (NPI 1619209079) is an individual professional provider in Oswego, Illinois, licensed in Illinois (180.003012) and active in the NPI registry since February 2010.
NPPES Registry Identity
NPI1619209079
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSALLY GAY STROSAHLCredential: LCPC
Location Address68 MAIN STOswego, IL 60543-9861
Mailing Address116 S Westlawn AveAurora, IL 60506-4622 · (630) 554-1243
Phone(630) 554-1243
Sole ProprietorYes
Enumeration DateFebruary 9, 2010
✔ NPI 1619209079 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.003012
68 MAIN ST, Oswego, IL 60543
Other Names 1
Other Name (5)Sally Strosahl Johnson
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619209079, enumerated as an "individual" on February 09, 2010.
The provider is located at 68 MAIN ST OSWEGO, IL 60543 and the phone number is (630) 554-1243.
Counselor with taxonomy code 101YP2500X and a focus in Professional.