MS. Lisa Marie Birdoes, LCPC
NPI #1205044534 in Peoria Heights, Illinois
Provider Information
- NPI Number
- 1205044534
- Entity Type
- Individual
- Name
- MS. Lisa Marie Birdoes, LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- May 18, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4617 N PROSPECT RD
- Address 2
- SUITE 26
- City
- Peoria Heights
- State
- Illinois
- ZIP Code
- 61616-6450
- Phone
- (309) 682-1992
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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