Provider Demographics
NPI:1639687106
Name:MALTESE, LINDSEY LEE (MSED LCPC NCC)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:LEE
Last Name:MALTESE
Suffix:
Gender:F
Credentials:MSED LCPC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2515 OAK TRAILS DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-6404
Mailing Address - Country:US
Mailing Address - Phone:630-696-6916
Mailing Address - Fax:
Practice Address - Street 1:106 S LINCOLNWAY STE F
Practice Address - Street 2:
Practice Address - City:NORTH AURORA
Practice Address - State:IL
Practice Address - Zip Code:60542-1597
Practice Address - Country:US
Practice Address - Phone:630-801-1669
Practice Address - Fax:630-801-1675
Is Sole Proprietor?:No
Enumeration Date:2018-01-17
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.012215101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional