Individual
ERIC LIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4331 LINCOLN HWY, MATTESON, IL 60443-2404
(708) 748-1951
Mailing address
4331 LINCOLN HWY, MATTESON, IL 60443-2404
(708) 748-1951
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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