Nancy L Guenzler, MS,LCPC

Individual provider Active NPI Mental Health Counselor · Lanark, IL

NPI 1811907645 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1811907645
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
321 SE Lanark Ave
Lanark, IL 61046-9706
Phone
(815) 493-6877
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
180-001671ILMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IL Yes

Addresses

Primary practice location

321 SE Lanark Ave
Lanark, IL 61046-9706

Mailing address

321 SE Lanark Ave
Lanark, IL 61046-9706
Phone (815) 493-6877

Other providers in Lanark, IL

All providers in Lanark, IL · Mental Health Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.