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NPI Code Detail

MEDICARE: LAUREN ALEXANDER LCPC

MEDICARE: LAUREN ALEXANDER LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor180.012025IL

General Provider Information

NPI Number : 1083108989
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ALEXANDER LCPC
Provider Business Mailing Address
First Line : 1136 S DELANO CT W STE B201
Second Line :
City : CHICAGO
State : IL
Zip : 60605-3734
Country : US
Telephone Number : 872-256-3153
Fax Number :
Provider Business Practice Location Address
First Line : 1136 S DELANO CT W STE B201
Second Line :
City : CHICAGO
State : IL
Zip : 60605-3734
Country : US
Telephone Number : 872-256-3153
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2018
Last Update Date : 05/16/2024

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Directions to “ LAUREN ALEXANDER LCPC” Practice Location

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