Individual
MR. MICHAEL LAMMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC/CRADC
Contact information
Practice address
1501 OLIVE ST, LAWRENCEVILLE, IL 62439-2269
(618) 943-3451
(618) 943-4368
Mailing address
PO BOX M, 504 MICAH DRIVE, OLNEY, IL 62450-0913
(618) 395-4306
(618) 395-4507
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
IL
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1875
CRADC
IL
Enumeration date
10/03/2007
Last updated
10/04/2007
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