NPI 1003915406

Lisa M Stites, LCPC

Practitioner Professional Counselor Oak Brook, IL

Practice location

Address: 2803 Butterfield Rd STE 200, Oak Brook, IL 60523-1165
Phone: (630) 424-9204
Mailing address: PO Box 5970, Villa Park, IL 60181-5312

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 180005216 (IL)

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Registry record

NPI: 1003915406
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Sep 2006
Record last updated: 11 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.