Individual provider · Type 1 NPI

Martie Ryan Lukanich, PSY.D., LCPC

Professional Counselor · Orland Park, IL

NPI number 1497886196 Active

Practice location

9601 165th St, Suite 6
Orland Park, IL 60467-5660

Call (708) 829-8277 Map

Fax (708) 352-2305

Mailing address

521 Bell Ave
La Grange, IL 60525-5903

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1497886196

Martie Ryan Lukanich, PSY.D., LCPC's National Provider Identifier is 1497886196, issued on Mar 7, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Orland Park, IL. The record was last updated on Jul 8, 2007.