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Organization
LPL COUNSELING
Active
Organization
LPL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LEVENS MA, LCPC (PSYCHOTHERAPIST)
(773) 484-8343
Entity
Organization
Contact information
Practice address
1131 CENTRAL AVE STE 14, WILMETTE, IL 60091-2645
(773) 484-8343
Mailing address
209 15TH ST, WILMETTE, IL 60091-3232
(773) 484-8343
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/18/2024
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