Individual provider · Type 1 NPI

Mary Mika, LCPC

Professional Counselor · Palos Park, IL

NPI number 1487970505 Active

Practice location

13011 S 104th Ave, Suite 200
Palos Park, IL 60464-1506

Fax (708) 448-6972

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.007345 (IL)

Professional Counselor: Definition to come...

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About NPI 1487970505

Mary Mika, LCPC's National Provider Identifier is 1487970505, issued on Apr 14, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Palos Park, IL. The record was last updated on Nov 11, 2010.