Individual provider · Type 1 NPI

Mario Lavell Luckett, LPC

Professional Counselor · Chicago, IL

NPI number 1386352839 Active

Practice location

1616 N Damen Ave Ste 301
Chicago, IL 60647-5536

Call (630) 428-7890 Map

Mailing address

2512 N Avers Ave Apt 2
Chicago, IL 60647-1016

Other practice locations

  • 2512 N Avers Ave Apt 2, Chicago, IL 60647-1016 · (312) 860-9342

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1386352839

Mario Lavell Luckett, LPC's National Provider Identifier is 1386352839, issued on Nov 14, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jun 4, 2024.