Clark, Ericka

Clark, Ericka is an sole proprietor health care provider with primary practice located at 750 Almar Pkwy Ste 205 , Bourbonnais IL 60914-2399. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Ericka can be contacted via phone (815) 348-7178.

Contact Information

Primary practice address
750 Almar Pkwy Ste 205 Bourbonnais IL 60914-2399
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.011233 Illinois

Profile Details

NPI number 1538675301
LBN Legal business name Clark, Ericka
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2017
Last updated Feb 19th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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