| Lighthouse Counseling Services Llc | |
|
244 E Ogden Ave Suite 11 Hinsdale IL 60521-3648 | |
| (630) 325-4770 | |
| Not Available |
| Full Name | Lighthouse Counseling Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 244 E Ogden Ave, Hinsdale, Illinois |
| Authorized Official Name and Position | David Preston Mackinnon (PRESIDENT) |
| Authorized Official Contact | 6303254770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Counseling Services Llc 244 E Ogden Ave Suite 11 Hinsdale IL 60521-3648 Ph: (630) 325-4770 | Lighthouse Counseling Services Llc 244 E Ogden Ave Suite 11 Hinsdale IL 60521-3648 Ph: (630) 325-4770 |
| NPI Number | 1104129287 |
|---|---|
| Provider Enumeration Date | 12/13/2010 |
| Last Update Date | 12/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104129287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071004301 (Illinois) | Primary |
| 106H00000X | Marriage & Family Therapist | 166000403 (Illinois) | Secondary |
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