Provider Demographics
NPI:1053484881
Name:LEFEVOUR, JUDY MARIE (LCPC)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:MARIE
Last Name:LEFEVOUR
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 N DUNTON AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-5556
Mailing Address - Country:US
Mailing Address - Phone:847-769-5583
Mailing Address - Fax:
Practice Address - Street 1:820 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:ST JAMES PARISH OFFICE
Practice Address - City:ARLINGTON HTS
Practice Address - State:IL
Practice Address - Zip Code:60004-5666
Practice Address - Country:US
Practice Address - Phone:847-769-5583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional