| Doctor Name: | MRS. LUCY HANSON SCHRAGE |
| NPI Number: | 1104919422 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., L.C.P.C, A.T.R |
| License Number: | |
| Business Practice Address: | 9515 Holy Cross Ln Specialty Clinic, Suite 5 Breese, IL - 622303618 |
| Business Phone Number: | 6189805028 |
| Business Fax Number: | 6185262855 |
| Mailing Address: | 9515 Holy Cross Ln, Specialty Clinic, Suite 5 BREESE |
| State: | IL |
| Postal Code: | 622303618 |
| Phone Number: | 6189805028 |
| Fax Number: | 6185262855 |
| NPI Enumeration Date: | 09/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |