PHILLIP MARK LICATA

OAK BROOK, IL
NPI1649493941
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180004784)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
Mr. PHILLIP MARK LICATA LCPC
1000 JORIE BLVD SUITE 48
OAK BROOK, IL 60523-2214
Phone number: 847-951-0338
Mailing Address
Mr. PHILLIP MARK LICATA LCPC
18557 W COUNTRY LN
GRAYSLAKE, IL 60030-2219
Phone number: 847-231-4056
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