Individual
ERIC V HARWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, QMHP
Contact information
Practice address
4137 SAUK TRL, SUITE D, RICHTON PARK, IL 60471-1253
(708) 296-0214
Mailing address
PO BOX 1814, MATTESON, IL 60443-4814
(708) 296-0214
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.004975
IL
Other
Enumeration date
09/12/2012
Last updated
01/03/2014
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