Provider Demographics
NPI:1992047674
Name:SENDERAK, ASHLEY ANN (LCPC)
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:ANN
Last Name:SENDERAK
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 1:1920 STRENGER LN
Mailing Address - Street 2:
Mailing Address - City:RIVERWOODS
Mailing Address - State:IL
Mailing Address - Zip Code:60015-1659
Mailing Address - Country:US
Mailing Address - Phone:847-287-3155
Mailing Address - Fax:
Practice Address - Street 1:1920 STRENGER LN
Practice Address - Street 2:
Practice Address - City:RIVERWOODS
Practice Address - State:IL
Practice Address - Zip Code:60015-1659
Practice Address - Country:US
Practice Address - Phone:847-287-3155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008554101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor