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Deanna R Blyth, LPC

Counselor, Mental Health in New Lenox, IL. Individual provider (NPI-1).

NPI number1295370930
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1295370930
Entity type
Individual (NPI-1)
Name
Deanna R Blyth
Credential
LPC
Sex
Female
Sole proprietor
No
Enumeration date
Nov 15, 2019
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health178015369ILYes

Practice location

3513 Cricket Ave
New Lenox, IL 60451-9785

Phone 815-351-0208

Mailing address

3513 Cricket Ave
New Lenox, IL 60451-9785

Phone 815-351-0208

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Other Mental Health Counselor providers in New Lenox, IL

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