Provider Demographics
NPI:1669092482
Name:LESSEN, ANGIE MARIE (LCPC)
Entity type:Individual
Prefix:
First Name:ANGIE
Middle Name:MARIE
Last Name:LESSEN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:ANGIE
Other - Middle Name:
Other - Last Name:LESSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:515 N COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:IL
Mailing Address - Zip Code:62656-1401
Mailing Address - Country:US
Mailing Address - Phone:217-525-1064
Mailing Address - Fax:
Practice Address - Street 1:515 N COLLEGE ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:IL
Practice Address - Zip Code:62656-1401
Practice Address - Country:US
Practice Address - Phone:217-525-1064
Practice Address - Fax:217-525-1651
Is Sole Proprietor?:No
Enumeration Date:2020-04-22
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180015989101YP2500X
IL178.015864101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional