Individual
ERICA LANGENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 N 64TH ST, BELLEVILLE, IL 62223-3809
(618) 397-0900
Mailing address
12 N 64TH ST, BELLEVILLE, IL 62223-3809
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.011333
IL
101YP2500X
Professional Counselor
178011885
ID
Other
Enumeration date
11/23/2016
Last updated
01/03/2020
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