MR. Phillip Mark Licata, LCPC
NPI #1649493941 in Oak Brook, Illinois
Provider Information
- NPI Number
- 1649493941
- Entity Type
- Individual
- Name
- MR. Phillip Mark Licata, LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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