Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISSA LEE LODGE
Active Sole ProprietorMARISSA LEE LODGE is a Counselor healthcare provider located in ROCKFORD, Illinois. NPI 1467986331 is currently active in the NPPES registry. Verify at CMS.
Counselor · ROCKFORD, IL
Registration Details
- NPI Number
- 1467986331
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 17, 2017 (9.1458257799534 yrs)
- Last Updated
- Aug 3, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
8616 NORTHERN AVEROCKFORD, IL, 611075309Browse IL providers · Browse ZIP 61107
- Phone
- 8153328003
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Counselor
Other Counselor Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| MR. ROBERT DREIER NOLTING | LPC | 1306912605 |
| MS. CINDY FISCHER | MS LCPC LMFT | 1740320209 |
| PAT VAUGHN | MS.ED., LCPC | 1134258734 |
| MRS. KHOA NGO | LCPC | 1861892374 |
| JACQUELINE BELTER | — | 1043611833 |
| GREGORY WILLIAM GEORGIS | — | 1922467034 |
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.