| Nancy Mitchell Lcpc Llc | |
|
1580 S Milwaukee Ave Ste 512 Libertyville IL 60048-3776 | |
| (847) 533-5706 | |
| Not Available |
| Full Name | Nancy Mitchell Lcpc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1580 S Milwaukee Ave Ste 512, Libertyville, Illinois |
| Authorized Official Name and Position | Nancy Mitchell (OWNER) |
| Authorized Official Contact | 8475335706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Mitchell Lcpc Llc 1416 Stevenson Dr Libertyville IL 60048-2571 Ph: (847) 533-5706 | Nancy Mitchell Lcpc Llc 1580 S Milwaukee Ave Ste 512 Libertyville IL 60048-3776 Ph: (847) 533-5706 |
| NPI Number | 1225428097 |
|---|---|
| Provider Enumeration Date | 01/30/2015 |
| Last Update Date | 01/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225428097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180005473 (Illinois) | Primary |
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