person
Mrs. Lisa Rene Gentry, MA,NCC,LPC
Professional Counselor in Pekin, Illinois
NPI 1649545963

Lisa Rene Gentry is a Professional Counselor based in Pekin, IL and is specialized in Professional. Lisa Rene Gentry practices in Pekin, IL and has the professional credentials of MA,NCC,LPC. The NPI Number for Lisa Rene Gentry is 1649545963 and holds a License No. 178.007629 (Illinois).

The current practice location address for Lisa Rene Gentry is 901 Broadway St, Pekin, IL and can be reached out via phone at 309-353-2079. You can also correspond with Lisa Rene Gentry through the mailing address at 901 BROADWAY ST, PEKIN, IL - 61554-4768 (mailing address contact number: 309-353-2079).

Location: 901 Broadway St, Pekin, IL, 61554-4768
person
Provider Profile Details
NPI Number
1649545963
Provider Name
Lisa Rene Gentry
Credential
MA,NCC,LPC
Provider Entity Type
Individual
Gender
Female
Address
901 Broadway St, Pekin, IL, 61554-4768
Phone Number
309-353-2079
Fax Number
Provider Enumeration Date
03/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
901 Broadway St
City
State
Zip
61554-4768
Phone Number
309-353-2079
Fax Number
person
Provider Business Mailing Address Details
Address
901 Broadway St
City
State
Zip
61554-4768
Phone Number
309-353-2079
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.007629 (Illinois)
Definition
Definition to come...
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