Organization
LIGHTHOUSE PROFESSIONAL COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL MARC FILMORE EDD, LCPC (CLINICAL DIRECTOR/OWNER)
(773) 656-2738
Entity
Organization
Contact information
Practice address
2535 BETHANY RD, STE 210, SYCAMORE, IL 60178-3126
(773) 656-2738
Mailing address
2535 BETHANY RD, STE 210, SYCAMORE, IL 60178-3126
(773) 656-2738
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180008697
IL
Other
Enumeration date
06/03/2016
Last updated
06/05/2016
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