person
Deanna R Blyth, LPC
Mental Health Counselor in New Lenox, Illinois
NPI 1295370930

Deanna R Blyth is a Mental Health Counselor based in New Lenox, IL and is specialized in Mental Health. Deanna R Blyth practices in New Lenox, IL and has the professional credentials of LPC. The NPI Number for Deanna R Blyth is 1295370930 and holds a License No. 178015369 (Illinois).

The current practice location address for Deanna R Blyth is 3513 Cricket Ave, New Lenox, IL and can be reached out via phone at 815-351-0208.

Location: 3513 Cricket Ave, New Lenox, IL, 60451-9785
person
Provider Profile Details
NPI Number
1295370930
Provider Name
Deanna R Blyth
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3513 Cricket Ave, New Lenox, IL, 60451-9785
Phone Number
815-351-0208
Fax Number
Provider Enumeration Date
11/15/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
178015369 01 IL ILLINOIS
institution
Provider Business Practice Location Address Details
Address
3513 Cricket Ave
City
State
Zip
60451-9785
Phone Number
815-351-0208
Fax Number
person
Provider Business Mailing Address Details
Address
3513 Cricket Ave
City
State
Zip
60451-9785
Phone Number
815-351-0208
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178015369 (Illinois)
Definition
Definition to come...
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