Lisa Anne Bong, LCSW
NPI #1396132510 in Glen Ellyn, Illinois
Provider Information
- NPI Number
- 1396132510
- Entity Type
- Individual
- Name
- Lisa Anne Bong, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCSW
- Enumeration Date
- Apr 26, 2015
- Last Updated
- Apr 26, 2015
Practice Location
- Address
- 787 EUCLID AVE
- City
- Glen Ellyn
- State
- Illinois
- ZIP Code
- 60137-3866
- Phone
- (630) 962-2515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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