Individual provider · Type 1 NPI

Micah JR Caldwell, MS, LPCC, LCPC

Professional Counselor · Berwyn, IL

NPI number 1487994919 Active

Practice location

3440 Clinton Ave
Berwyn, IL 60402-3322

Call (708) 695-4841 Map

Mailing address

7301 W 25th St # 130
North Riverside, IL 60546-1409

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400X16627-130 (WI)
Professional Counselor 101YP2500XNone listed
Professional Counselor 101YP2500XLPCC5913 (CA)
Professional Counselor Primary 101YP2500X180.013357 (IL)

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About NPI 1487994919

Micah JR Caldwell, MS, LPCC, LCPC's National Provider Identifier is 1487994919, issued on Feb 20, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Berwyn, IL. The record was last updated on Apr 18, 2023.