Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Malissa/LISA Lynn Dieterle, LCPC, CADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1669276242

MS. Malissa/LISA Lynn Dieterle, LCPC, CADC is an Addiction (Substance Use Disorder) Counselor in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

1005 N Western Ave Unit 3
Chicago, IL 60622-6224
Phone: (773) 251-5922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180-003908 (IL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 18283 (IL)

Record details

NPI number1669276242
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC , CADC
Sole proprietorYes
NPI enumeratedApril 2, 2025
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

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