| Leslie Lund Psychotherapy Pllc | |
|
1916 Rowell Ave Joliet IL 60433-8548 | |
| (815) 531-2049 | |
| Not Available |
| Full Name | Leslie Lund Psychotherapy Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1916 Rowell Ave, Joliet, Illinois |
| Authorized Official Name and Position | Leslie Lund (CEO) |
| Authorized Official Contact | 8155312049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Lund Psychotherapy Pllc 915 W Margate Ter Apt G Chicago IL 60640-3083 Ph: (815) 531-2049 | Leslie Lund Psychotherapy Pllc 1916 Rowell Ave Joliet IL 60433-8548 Ph: (815) 531-2049 |
| NPI Number | 1003552399 |
|---|---|
| Provider Enumeration Date | 05/09/2022 |
| Last Update Date | 05/09/2022 |
| Certification Date | 05/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003552399 | NPI | - | NPPES |
| 180.013816 | Other | IL | IDFPR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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