| Ericka Axness, Lcsw And Associates, Llc | |
|
129 Fairfield Way 303a Bloomingdale IL 60108-1560 | |
| (630) 864-0671 | |
| (630) 597-2541 |
| Full Name | Ericka Axness, Lcsw And Associates, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 129 Fairfield Way, Bloomingdale, Illinois |
| Authorized Official Name and Position | Ericka Jane Axness (OWNER) |
| Authorized Official Contact | 6308640671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ericka Axness, Lcsw And Associates, Llc 129 Fairfield Way 303a Bloomingdale IL 60108-1560 Ph: (630) 864-0671 | Ericka Axness, Lcsw And Associates, Llc 129 Fairfield Way 303a Bloomingdale IL 60108-1560 Ph: (630) 864-0671 |
| NPI Number | 1285002287 |
|---|---|
| Provider Enumeration Date | 09/08/2015 |
| Last Update Date | 09/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285002287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149011074 (Illinois) | Primary |
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