| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 11/22/2023 |
| Certification Date | 11/22/2023 |
| Medicare PECOS PAC ID | 6002259934 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376239350 PECOS PAC ID: 7810330743 Enrollment ID: I20240208000504 |
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