Individual
LISA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1461 W 112TH PL, CHICAGO, IL 60643-4368
(312) 646-0734
Mailing address
1461 W 112TH PL, CHICAGO, IL 60643-4368
(619) 772-0297
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.016145
IL
101YP2500X
Professional Counselor
—
IL
Other
Enumeration date
03/28/2021
Last updated
12/27/2024
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