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Organization
LANTERN THERAPY SERVICES, LTD
Active
Organization
LANTERN THERAPY SERVICES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISY MARIE GOWAN LCPC (PRESIDENT)
(815) 503-9018
Entity
Organization
Contact information
Practice address
451 COVENTRY LN STE 101, CRYSTAL LAKE, IL 60014-7569
(815) 503-9018
(779) 423-0778
Mailing address
451 COVENTRY LN STE 101, CRYSTAL LAKE, IL 60014-7569
(815) 564-8633
(779) 423-0778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.007379
IL
Other
Enumeration date
08/27/2014
Last updated
06/10/2025
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