Individual provider · Type 1 NPI

Susan Marie Lefaivre

Mental Health Counselor · Dixon, IL

NPI number 1659048064 Active

Practice location

325 Illinois Rt 2
Dixon, IL 61021-9118

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1659048064

Susan Marie Lefaivre's National Provider Identifier is 1659048064, issued on Aug 24, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dixon, IL. The record was last updated on Aug 24, 2021.