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Provider Information for 1285037887


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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LISA LOIS FUECHTMANN LCPC


Other Names:  
Former Name: 
LISA LOIS CUEVAS

Sex: Female

NPI: 1285037887
Last Updated: 2025-03-21
Certification Date: 2025-03-21

Details

NameValue
NPI1285037887
Enumeration Date2014-09-27
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 602 IVY CT
ROUND LAKE BEACH, IL 60073-2223
United States

Phone: 773-656-3484 | Fax:
 
Primary Practice Address 4606 OLD GRAND AVE STE A2
GURNEE, IL 60031-2607
United States

Phone: 773-656-3484 | Fax:
 
Secondary Practice Address(es)

4039 FITZJAMES WALK
OAK LAWN, IL 60453-3305
United States

Phone: 773-656-3484 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YP2500X - Counselor - ProfessionalIL180.009305
Yes 101YM0800X - Counselor - Mental HealthIL180.009305