Ericson, Jill Sheryl
Ericson, Jill Sheryl is an individual health care provider with primary practice located at 22852 Harbour Ln , Plainfield IL 60544. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Ericson, Jill Sheryl can be contacted via phone (815) 767-8395.Contact Information
Primary practice address
22852 Harbour Ln
Plainfield IL 60544
Phone: (815) 767-8395
Fax: (815) 254-7512
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | Illinois | |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Illinois | |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | Illinois |
Profile Details
NPI number | 1649331513 |
---|---|
LBN Legal business name | Ericson, Jill Sheryl |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 13th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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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