Individual provider · Type 1 NPI

Phillip Mark Licata, LCPC

Professional Counselor · Oak Brook, IL

NPI number 1649493941 Active

Practice location

1000 Jorie Blvd, Suite 48
Oak Brook, IL 60523-2214

Call (847) 951-0338 Map

Mailing address

18557 W Country Ln
Grayslake, IL 60030-2219

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180004784 (IL)

Professional Counselor: Definition to come...

18 other providers at this address

Other professional counselor providers in Oak Brook

See all in Oak Brook →

About NPI 1649493941

Phillip Mark Licata, LCPC's National Provider Identifier is 1649493941, issued on Apr 11, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oak Brook, IL. The record was last updated on Jul 8, 2007.