Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOE ROBERSON MARDIS, LCPC
Active Sole ProprietorMR. JOE ROBERSON MARDIS, LCPC is a Professional Counselor healthcare provider located in HOMEWOOD, Illinois. NPI 1346307675 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · HOMEWOOD, IL
Registration Details
- NPI Number
- 1346307675
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2007 (19.568452852107 yrs)
- Last Updated
- Jul 8, 2007
- License
-
180-002029 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1725 187TH STHOMEWOOD, IL, 604303853Browse IL providers · Browse ZIP 60430
- Phone
- 7089068816
- Fax
- 7089220907
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in HOMEWOOD, IL
| Name | Credential | NPI |
|---|---|---|
| KIMBERLY KURZYDLO | LCPC | 1639293111 |
| MRS. MICHELLE VICTORIA LEE | LCPC | 1538366786 |
| MS. MAXINE ANN MANCINO | LCPC | 1457545394 |
| MS. CATHY GAIL JACKSON | LCPC | 1265761324 |
| MR. JOHN AUGUSTINE NSIMBI | MA | 1285964742 |
| KAREN BRENNETTE NEWSON | — | 1912200957 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.