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NPI Code Detail

MEDICARE: LORA JEAN DELAPP MSED LCPC

MEDICARE: LORA JEAN DELAPP MSED 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
1101YP2500XProfessional Counselor180006498IL

General Provider Information

NPI Number : 1174721922
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORA JEAN DELAPP MSED LCPC
Provider Business Mailing Address
First Line : 902 W MAIN ST
Second Line :
City : WEST FRANKFORT
State : IL
Zip : 62896-2210
Country : US
Telephone Number : 618-937-6483
Fax Number : 618-937-1440
Provider Business Practice Location Address
First Line : 1307 W MAIN ST
Second Line :
City : MARION
State : IL
Zip : 62959-1139
Country : US
Telephone Number : 618-997-5336
Fax Number : 618-993-2969
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2007
Last Update Date : 12/08/2022

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Directions to “ LORA JEAN DELAPP MSED LCPC” Practice Location

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