Most Relevant Information
Provider Data
| NPI Number: | 1003494089 |
| Provider Name: | JOSHUA LUPARDUS |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/31/2021 |
| Last Updated: | 03/31/2021 |
Provider Practice Location
2615 EDWARDS ST
ALTON
IL
620023915
Practice Location Phone/Fax
| Phone: | 6184622331 |
| Fax: | 6184627160 |
Provider Mailing Location
902 W MAIN ST
WEST FRANKFORT
IL
628962210
Provider Mailing Phone/Fax
| Phone: | 6189376483 |
| Fax: | 6189371440 |