Individual
MS. GRACE LANZOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 N MICHIGAN AVE STE 444, CHICAGO, IL 60601-7511
(312) 278-3054
Mailing address
311 ALBERT SABIN WAY, CINCINNATI, OH 45229-2838
(513) 558-9006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.2204477-TRNE
OH
101YM0800X
Mental Health Counselor
Primary
178.020543
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C.2204477-TRNE
COUNSELOR TRAINEE
OH
Enumeration date
12/28/2022
Last updated
09/23/2024
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