Lisa Marie Birdoes, LCPC Valid NPI
Individual provider · Professional Counselor · Peoria Heights, IL
- NPI
- 1205044534
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-05-18
- Last updated
- 2007-07-08
Practice location
4617 N Prospect Rd, Suite 26
Peoria Heights, IL 61616-6450
(309) 682-1992