Erik Lees Counseling Pllc | |
2656 W Montrose Ave Ste 101 Chicago IL 60618-1582 | |
(781) 330-3613 | |
Not Available |
Full Name | Erik Lees Counseling Pllc |
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Speciality | Social Worker |
Location | 2656 W Montrose Ave Ste 101, Chicago, Illinois |
Authorized Official Name and Position | Erik Ross Lees (OWNER) |
Authorized Official Contact | 7813303613 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Erik Lees Counseling Pllc 1403 W Diversey Pkwy Apt 1 Chicago IL 60614-7964 Ph: (781) 330-3613 | Erik Lees Counseling Pllc 2656 W Montrose Ave Ste 101 Chicago IL 60618-1582 Ph: (781) 330-3613 |
NPI Number | 1346013760 |
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Provider Enumeration Date | 11/07/2023 |
Last Update Date | 11/22/2023 |
Certification Date | 11/22/2023 |
Medicare PECOS PAC ID | 6002259934 |
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Medicare Enrollment ID | O20240208000459 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346013760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Erik Ross Lees |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376239350 PECOS PAC ID: 7810330743 Enrollment ID: I20240208000504 |
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