Individual provider · Type 1 NPI

Lisa Tamar Provorny, L.C.P.C.

Counselor · Chicago, IL

NPI number 1518354331 Active

Practice location

3320 W Foster Ave # 124
Chicago, IL 60625-4813

Call (773) 645-1443 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X180011361 (IL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1518354331

Lisa Tamar Provorny, L.C.P.C.'s National Provider Identifier is 1518354331, issued on Apr 20, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Chicago, IL. The record was last updated on May 20, 2022.