Individual provider · Type 1 NPI
Erin Kathleen Immken, LPC, LCPC
Professional Counselor · Glen Carbon, IL
NPI number
1679728356
Active
Practice location
98 Junction Drive West, Suite 6
Glen Carbon, IL 62034
Fax (618) 731-4082
Mailing address
PO Box 98
Edwardsville, IL 62025-0098
Other practice locations
- 1 Bronze Pointe Blvd Ste 1, Swansea, IL 62226-1045 · (877) 381-6538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 2008034953 (MO) |
| Professional Counselor Primary | 101YP2500X | 180.006806 (IL) |
Professional Counselor: Definition to come...
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About NPI 1679728356
Erin Kathleen Immken, LPC, LCPC's National Provider Identifier is 1679728356, issued on Nov 24, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Glen Carbon, IL. The record was last updated on Jun 11, 2025.