Individual
MRS. LOIS GOUDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. MA, LCPC
Contact information
Practice address
5233 HOHMAN AVE, HAMMOND, IN 46320-1742
(708) 270-3147
Mailing address
3402 173RD ST, LANSING, IL 60438-1306
(708) 743-7347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.012096
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180.012096
ILLINOIS DEPARTMENT OF FINANCIAL REGULATION
IL
Enumeration date
03/15/2007
Last updated
06/11/2019
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