Individual
ERICKA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
750 ALMAR PKWY STE 205, BOURBONNAIS, IL 60914-2399
(815) 348-7178
Mailing address
750 ALMAR PKWY STE 205, BOURBONNAIS, IL 60914-2399
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.011233
IL
Other
Enumeration date
12/15/2017
Last updated
02/19/2019
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