Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 180.009075 | IL |
NPI | 1003476441 |
---|---|
Provider Name | Megan Lee France |
First Address | Downers Grove, IL 60516-2314 |
Second Address | Lisle, IL 60532-2135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2019 |
Last Update Date | 18/06/2019 |