Individual provider · Type 1 NPI

Luis San Roman, LCPC

Professional Counselor · Lake Bluff, IL

NPI number 1124480595 Active

Practice location

100 N Waukegan Rd Ste 204
Lake Bluff, IL 60044-1660

Call (847) 821-9346 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X178011862 (IL)
Professional Counselor Primary 101YP2500X18012203 (IL)

Professional Counselor: Definition to come...

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About NPI 1124480595

Luis San Roman, LCPC's National Provider Identifier is 1124480595, issued on Mar 24, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake Bluff, IL. The record was last updated on Aug 5, 2022.