DR. Luis San Roman, LCPC

NPI #1124480595 in Lake Bluff, Illinois

Provider Information

NPI Number: 1124480595
Entity Type: Individual
Name: DR. Luis San Roman, LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Mar 24, 2016
Last Updated: Aug 5, 2022

Practice Location

Address: 100 N WAUKEGAN RD STE 204
City: Lake Bluff
State: Illinois
ZIP Code: 60044-1660
Phone: (847) 821-9346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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