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Individual

MR. JASON P LENZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA LCPC

Contact information

Practice address
100 S ATKINSON RD, SUITE 202, GRAYSLAKE, IL 60030-7817
(847) 548-9425
(847) 548-9404
Mailing address
100 S ATKINSON RD, SUITE 202, GRAYSLAKE, IL 60030-7817
(847) 548-9425
(847) 548-9404

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-004783
IL

Other

Enumeration date
08/30/2011
Last updated
08/30/2011
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