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Individual

JOHN E COUMBE-LILLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, LPC, ALMFT

Contact information

Practice address
132 W LAKE ST, BLOOMINGDALE, IL 60108-1020
(312) 620-0714
Mailing address
3631 N HALSTED ST, APT 311, CHICAGO, IL 60613-4579
(312) 320-3501

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.017770
IL

Other

Enumeration date
02/14/2022
Last updated
02/14/2022
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