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Organization
LESLIE LUND PSYCHOTHERAPY PLLC
Active
Organization
LESLIE LUND PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE LUND LCPC (CEO)
(815) 531-2049
Entity
Organization
Contact information
Practice address
1916 ROWELL AVE, JOLIET, IL 60433-8548
(815) 531-2049
Mailing address
915 W MARGATE TER APT G, CHICAGO, IL 60640-3083
(815) 531-2049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180.013816
IDFPR
IL
Enumeration date
05/09/2022
Last updated
05/09/2022
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