John Lee Cecilia, LCSW
Social Worker, Clinical in Libertyville, IL. Individual provider (NPI-1).
NPI number1104126010
StatusActive
Last updated in NPPESSep 24, 2012
Details
- NPI
- 1104126010
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Lee Cecilia
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2010
- Last updated
- Sep 24, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149-015097 | IL | Yes |
Practice location
1113 S Milwaukee AveSuite 104
Libertyville, IL 60048-3758
Phone 847-367-5991 · Fax 847-367-5997
Mailing address
1113 S Milwaukee AveSuite 104
Libertyville, IL 60048-3758
Phone 847-367-5991 · Fax 847-367-5997
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