Individual provider · Type 1 NPI

Rosalva Lacke

Mental Health Counselor · Aurora, IL

NPI number 1417682105 Active

Practice location

1230 Pearl St
Aurora, IL 60505-4519

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1417682105

Rosalva Lacke's National Provider Identifier is 1417682105, issued on Jul 18, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Aurora, IL. The record was last updated on Jul 18, 2022.