Provider Demographics
NPI:1023516010
Name:SPEER, HARRY LEE (LPC, NCC)
Entity type:Individual
Prefix:MR
First Name:HARRY
Middle Name:LEE
Last Name:SPEER
Suffix:
Gender:M
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2079 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-6300
Mailing Address - Country:US
Mailing Address - Phone:331-425-2573
Mailing Address - Fax:
Practice Address - Street 1:2079 MADISON AVE
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-6300
Practice Address - Country:US
Practice Address - Phone:331-425-2573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-25
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178013638101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional