| Lisa Medanic Counseling, Ltd. | |
|
29w120 Butterfield Rd Ste 104a Warrenville IL 60555-2830 | |
| (630) 393-4019 | |
| (630) 904-9871 |
| Full Name | Lisa Medanic Counseling, Ltd. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 29w120 Butterfield Rd Ste 104a, Warrenville, Illinois |
| Authorized Official Name and Position | Lisa C. Medanic (PRESIDENT) |
| Authorized Official Contact | 6303934019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Medanic Counseling, Ltd. 3126 Crystal Rock Rd Naperville IL 60564-8241 Ph: (630) 393-4019 | Lisa Medanic Counseling, Ltd. 29w120 Butterfield Rd Ste 104a Warrenville IL 60555-2830 Ph: (630) 393-4019 |
| NPI Number | 1275716136 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 12/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275716136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Illinois) | Primary |
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