Doctor Name: | MR. MICHAEL F LAU |
NPI Number: | 1790835791 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | 180-002652 |
Business Practice Address: | 146 Gooding St Lasalle, IL - 61301 |
Business Phone Number: | 8152244522 |
Business Fax Number: | 8152238055 |
Mailing Address: | 146 Gooding St, LASALLE |
State: | IL |
Postal Code: | 61301 |
Phone Number: | 8152244522 |
Fax Number: | 8152238055 |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 05/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 180-002652 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |