Individual
LISA BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4507 N RICHMOND ST, CHICAGO, IL 60625-3825
(773) 551-8106
(866) 672-5645
Mailing address
4507 N RICHMOND ST, CHICAGO, IL 60625-3825
(773) 551-8106
(866) 672-5645
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178.004881
IL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
04/17/2009
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