Provider Demographics
NPI:1184957110
Name:LAMONTAGNE, HILLARY J (LCPC)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:J
Last Name:LAMONTAGNE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:J
Other - Last Name:BRADY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:2239 E COOK ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62703-1944
Mailing Address - Country:US
Mailing Address - Phone:217-788-2463
Mailing Address - Fax:217-788-2343
Practice Address - Street 1:2239 E COOK ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62703-1944
Practice Address - Country:US
Practice Address - Phone:217-788-2300
Practice Address - Fax:217-788-2341
Is Sole Proprietor?:No
Enumeration Date:2009-09-09
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180007297101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional