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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA NICKLAS

Active

LISA NICKLAS is a Professional Counselor healthcare provider located in GURNEE, Illinois. NPI 1548552078 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · GURNEE, IL

Registration Details

NPI Number
1548552078
Provider Type
Individual
Gender
Female
NPI Issued
May 2, 2011 (15.268062104593 yrs)
Last Updated
Mar 17, 2018
License
180.007737 (IL)

Practice Information

Address
1790 NATIONS DR STE 116
GURNEE, IL, 600319175
Browse IL providers · Browse ZIP 60031
Phone
8472456567
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in GURNEE, IL

Name Credential NPI
DEBORAH A. GUST M.A. 1962480111
MS. SUSAN ROBERTA DAVIS LCPC, CDS 1568418739
MR. ROBERT J BENNETT LICENSED SCHOOL PSYC 1518906718
ELEANOR J. GROSS L.C.P.C. 1134144470
MRS. NANCI JANINE EDGCOMB LCPC 1003908062
MR. PHILIP C. KIRSCHBAUM LCSW 1619092962
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.