Individual
MR. EDWIN JOSEPH LACHETA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2 W ADAMS, SULLIVAN, IL 61951-1943
(217) 728-8319
(217) 774-2256
Mailing address
1305 W S 11TH STREET, SHELBYVILLE, IL 62565-9205
(217) 774-5861
(217) 774-2256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180001035
IL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
166000206
IL
Other
Enumeration date
02/01/2007
Last updated
02/26/2024
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