Provider Demographics
NPI:1487954202
Name:HOPKINS, LISA J (NCC, LCPC, CADC, PCG)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:J
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:NCC, LCPC, CADC, PCG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 S. WIESBROOK ROAD
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189
Mailing Address - Country:US
Mailing Address - Phone:630-260-8780
Mailing Address - Fax:630-938-4697
Practice Address - Street 1:2001 S. WIESBROOK ROAD
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189
Practice Address - Country:US
Practice Address - Phone:630-260-8780
Practice Address - Fax:630-938-4697
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.007624101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional