Lee Delaney Love, L.C.P.C

Individual provider Active NPI Mental Health Counselor · Chester, IL

NPI 1902961808 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1902961808
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1900 State St
Chester, IL 62233-1116
Phone
(618) 826-4581
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
180-002446ILMDMental Health Counselor

Specialties & licenses

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

Addresses

Primary practice location

1900 State St
Chester, IL 62233-1116

Mailing address

142 Alberta Dr
Cape Girardeau, MO 63701-9347
Phone (573) 243-0070

Other providers in Chester, IL

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

Sources for this page

Verify at the official NPI Registry.