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NPI Code Detail

MEDICARE: LEE ANDREW NEEDLING LPC

MEDICARE:   LEE ANDREW NEEDLING  LPC
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 Counselor

General Provider Information

NPI Number : 1952033102
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEE ANDREW NEEDLING LPC
Provider Business Mailing Address
First Line : 2164 N STAVE ST APT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60647-0692
Country : US
Telephone Number : 224-578-2713
Fax Number :
Provider Business Practice Location Address
First Line : 17 N DEARBORN ST
Second Line :
City : CHICAGO
State : IL
Zip : 60602-4310
Country : US
Telephone Number : 224-578-2713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2022
Last Update Date : 06/27/2022

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Directions to “ LEE ANDREW NEEDLING LPC” Practice Location

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