Individual provider · Type 1 NPI
Lisa Marie Bodnar, LPC
Mental Health Counselor · Glen Ellyn, IL
NPI number
1760139968
Active
Practice location
572 Crescent Blvd
Glen Ellyn, IL 60137-4151
Mailing address
660 S Yale Ave
Villa Park, IL 60181-2872
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 178.017097 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1760139968
Lisa Marie Bodnar, LPC's National Provider Identifier is 1760139968, issued on Mar 7, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glen Ellyn, IL. The record was last updated on Mar 7, 2022.