Individual
DR. BRANDON MICHAEL LIPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., MSCP, CADC
Contact information
Practice address
444 S RAND RD STE 211, LAKE ZURICH, IL 60047-2307
(847) 660-4946
Mailing address
444 S RAND RD STE 211, LAKE ZURICH, IL 60047-2307
(847) 660-4946
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
35368
IL
103TC0700X
Clinical Psychologist
Primary
071.021047
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071.021047
ILLINOIS DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
IL
01
—
35368
IAODAPCA
IL
Enumeration date
03/08/2018
Last updated
04/06/2025
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