Organization · Type 2 NPI
Second Lane PLLC
Mental Health Counselor · Gurnee, IL
NPI number
1407796626
Active
Practice location
501 N Riverside Dr Ste 215
Gurnee, IL 60031-5918
Mailing address
28674 Braeloch Ct
Lake Bluff, IL 60044-3004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1407796626
Second Lane PLLC's National Provider Identifier is 1407796626, issued on Mar 30, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gurnee, IL. The record was last updated on Sep 25, 2026.