Search › Illinois › 101YA0400X
Lisa Dickens, MS. CADC
NPI 1528806288 · on the registry since 2024 · sole proprietor
Practice
- Address
- 33 Leisure Acres
Sullivan, IL 61951 - Phone
- (217) 294-0802
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois