Individual provider · Type 1 NPI

Lyndsey Michelle Wideman, MA, LCPC

Professional Counselor · Carbondale, IL

NPI number 1487287835 Active

Practice location

2311 S Illinois Ave
Carbondale, IL 62903-5912

Call (618) 457-6703 Map

Fax (618) 549-3734

Mailing address

902 W Main St
West Frankfort, IL 62896-2210

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.015448 (IL)

Professional Counselor: Definition to come...

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About NPI 1487287835

Lyndsey Michelle Wideman, MA, LCPC's National Provider Identifier is 1487287835, issued on Feb 13, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Carbondale, IL. The record was last updated on Jul 19, 2023.