Provider Demographics
NPI:1861588089
Name:ZEVENHOUSE, SHERIE L (MA LCPC)
Entity type:Individual
Prefix:MS
First Name:SHERIE
Middle Name:L
Last Name:ZEVENHOUSE
Suffix:
Gender:F
Credentials:MA LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 WEST 209TH ST
Mailing Address - Street 2:SHERIE ZEVENHOUSE
Mailing Address - City:CHICAGO HTS
Mailing Address - State:IL
Mailing Address - Zip Code:60411
Mailing Address - Country:US
Mailing Address - Phone:708-481-7033
Mailing Address - Fax:708-747-9764
Practice Address - Street 1:2300 WEST 209TH ST
Practice Address - Street 2:SHERIE ZEVENHOUSE
Practice Address - City:CHICAGO HTS
Practice Address - State:IL
Practice Address - Zip Code:60411
Practice Address - Country:US
Practice Address - Phone:708-481-7033
Practice Address - Fax:708-747-9764
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
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