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James Derr
Professional Counselor in Lisle, Illinois
NPI 1275193187

James Derr is a Professional Counselor based in Lisle, IL and is specialized in Professional. James Derr practices in Lisle, IL. The NPI Number for James Derr is 1275193187 and holds a License No. 178007850 (Illinois).

The current practice location address for James Derr is 4513 Lincoln Ave Ste 102, Lisle, IL and can be reached out via phone at 630-484-4925.

Location: 4513 Lincoln Ave Ste 102, Lisle, IL, 60532-1290
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275193187
Provider Name
James Derr
Credential
Provider Entity Type
Individual
Gender
Male
Address
4513 Lincoln Ave Ste 102, Lisle, IL, 60532-1290
Phone Number
630-484-4925
Fax Number
Provider Enumeration Date
06/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4513 Lincoln Ave Ste 102
City
Lisle
State
Illinois
Zip
60532-1290
Phone Number
630-484-4925
Fax Number
person
Provider Business Mailing Address Details
Address
4513 Lincoln Ave Ste 102
City
Lisle
State
Illinois
Zip
60532-1290
Phone Number
630-484-4925
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
178007850 (Illinois)
Definition
Definition to come...
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