Individual
ERIN MARIE LASTRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, CADC
Contact information
Practice address
2055 W ARMY TRAIL RD, ADDISON, IL 60101-1478
(630) 580-3190
Mailing address
2055 W ARMY TRAIL RD, ADDISON, IL 60101-1478
(630) 580-3190
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
30869
IL
101YP2500X
Professional Counselor
Primary
180.009646
IL
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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