Individual
MR. J MICHAEL LAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2835 N SHEFFIELD AVE, SUITE 211, CHICAGO, IL 60657-5081
(773) 204-4984
(773) 281-3429
Mailing address
2835 N SHEFFIELD, SUITE 211, CHICAGO, IL 60657
(773) 204-4984
(773) 281-3429
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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