Provider Demographics
NPI:1215091913
Name:SABAN, DEBORAH (LCPC)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:
Last Name:SABAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N VIRGINIA ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-3426
Mailing Address - Country:US
Mailing Address - Phone:815-459-0499
Mailing Address - Fax:815-788-0115
Practice Address - Street 1:101 N VIRGINIA ST
Practice Address - Street 2:SUITE 110
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-3426
Practice Address - Country:US
Practice Address - Phone:815-459-0499
Practice Address - Fax:815-788-0115
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty