Individual provider · Type 1 NPI

Ryan S. Lauterwasser, LCPC

Professional Counselor · Glen Ellyn, IL

NPI number 1154339992 Active

Practice location

460 N Main St, Suite 205
Glen Ellyn, IL 60137-5176

Mailing address

111 N Union St
Aurora, IL 60505-3537

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180-005201 (IL)

Professional Counselor: Definition to come...

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About NPI 1154339992

Ryan S. Lauterwasser, LCPC's National Provider Identifier is 1154339992, issued on Aug 4, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Glen Ellyn, IL. The record was last updated on Jan 19, 2012.