Individual
GARTH WILLIAM LAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
30 N MICHIGAN AVE STE 809, CHICAGO, IL 60602-3776
(312) 767-2057
Mailing address
5866 N MEDINA AVE, CHICAGO, IL 60646-5304
(262) 822-2772
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801273446
—
IL
Enumeration date
08/22/2018
Last updated
01/18/2022
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