Individual provider · Type 1 NPI
David Michael Lyke, LCPC
Professional Counselor · Buffalo Grove, IL
NPI number
1811284557
Active
Practice location
1401 Mchenry Road, Suite 122
Buffalo Grove, IL 60089-1382
Fax (847) 913-9630
Mailing address
1401 Mchenry Rd, Suite 122
Buffalo Grove, IL 60089-1382
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor | 101YP1600X | 180.003631 (IL) |
| Professional Counselor Primary | 101YP2500X | 180.003631 (IL) |
Professional Counselor: Definition to come...
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About NPI 1811284557
David Michael Lyke, LCPC's National Provider Identifier is 1811284557, issued on Jul 1, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Buffalo Grove, IL. The record was last updated on Jul 1, 2011.