person
Lisa Anne Bong, LCSW
Mental Health Counselor in Glen Ellyn, Illinois
NPI 1396132510

Lisa Anne Bong is a Mental Health Counselor based in Glen Ellyn, IL and is specialized in Mental Health. Lisa Anne Bong practices in Glen Ellyn, IL and has the professional credentials of LCSW. The NPI Number for Lisa Anne Bong is 1396132510 and holds a License No. 149004363 (Illinois).

The current practice location address for Lisa Anne Bong is 787 Euclid Ave, Glen Ellyn, IL and can be reached out via phone at 630-962-2515.

Location: 787 Euclid Ave, Glen Ellyn, IL, 60137-3866
person
Provider Profile Details
NPI Number
1396132510
Provider Name
Lisa Anne Bong
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
787 Euclid Ave, Glen Ellyn, IL, 60137-3866
Phone Number
630-962-2515
Fax Number
Provider Enumeration Date
04/26/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
787 Euclid Ave
City
State
Zip
60137-3866
Phone Number
630-962-2515
Fax Number
person
Provider Business Mailing Address Details
Address
787 Euclid Ave
City
State
Zip
60137-3866
Phone Number
630-962-2515
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
149004363 (Illinois)
Definition
Definition to come...
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