Provider / Organization | NPI | Date Certified |
---|---|---|
SHARON THERESE PETZEL | 1891864674 | 2023-04-13 |
Sharon Therese Petzel is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1891864674. Registration indicates Sharon Therese Petzel is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
Entity Type | Individual |
Provider Name | Sharon Therese Petzel LCSW |
Practice Office Address | 2661 HARNISH DR ALGONQUIN, IL US |
Practice Office Telephone | 8478947070 |
Mailing Address | 2661 HARNISH DR ALGONQUIN, IL 601026857 US |
Business Telephone | 8478947070 |
Code | Practice | License No State |
---|---|---|
1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 149002413
IL |