Lyndsey Michelle Wideman, MA,LCPC
NPI #1487287835 in Carbondale, Illinois
Provider Information
- NPI Number
- 1487287835
- Entity Type
- Individual
- Name
- Lyndsey Michelle Wideman, MA,LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- MA,LCPC
- Enumeration Date
- Feb 13, 2020
- Last Updated
- Jul 19, 2023
Practice Location
- Address
- 2311 S ILLINOIS AVE
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62903-5912
- Phone
- (618) 457-6703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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