Individual provider · Type 1 NPI

Lisa Dvorak, LPC

Mental Health Counselor · Bannockburn, IL

NPI number 1225704158 Active

Practice location

2101 Waukegan Rd
Bannockburn, IL 60015-1836

Mailing address

403 Old Mill Cir
Lincolnshire, IL 60069-3305

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.016125 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1225704158

Lisa Dvorak, LPC's National Provider Identifier is 1225704158, issued on Aug 19, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bannockburn, IL. The record was last updated on Aug 19, 2021.