Doctor Name: | ERIN J AUSTIN |
NPI Number: | 1013114875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 180.008593 |
Business Practice Address: | 5n443 Santa Fe Trl Bloomingdale, IL - 601082411 |
Business Phone Number: | 6304653374 |
Business Fax Number: | |
Mailing Address: | 5n443 Santa Fe Trl, BLOOMINGDALE |
State: | IL |
Postal Code: | 601082411 |
Phone Number: | 6304653374 |
Fax Number: | |
NPI Enumeration Date: | 06/27/2007 |
NPI Last Update Date: | 06/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 180.008593 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |