Individual
ANGELA MARIE LYONSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
228 E LAKE ST, ADDISON, IL 60101-2889
(630) 835-1430
Mailing address
228 E LAKE ST, ADDISON, IL 60101-2889
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180006896
IL
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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