Individual
MRS. ERIN LEIGH DIECKHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5825 W BELMONT AVE, CHICAGO, IL 60634-5203
(773) 653-8694
Mailing address
5825 W BELMONT AVE, CHICAGO, IL 60634-5203
(773) 653-8694
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.008280
IL
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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