| Doctor Name: | MRS. ABIGAIL ANN ERCOLI |
| NPI Number: | 1134397771 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC, LMHC |
| License Number: | |
| Business Practice Address: | 10220 Wicker Ave Suite 3 Saint John, IN - 463739424 |
| Business Phone Number: | 2193815110 |
| Business Fax Number: | 2193655060 |
| Mailing Address: | 18440 Palmer Ave, HOMEWOOD |
| State: | IL |
| Postal Code: | 604303217 |
| Phone Number: | 7082503746 |
| Fax Number: | |
| NPI Enumeration Date: | 02/18/2008 |
| NPI Last Update Date: | 06/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |