Nicolette Surico, LCPC Valid NPI
Individual provider · Professional Counselor · Crystal Lake, IL
- NPI
- 1093388688
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 180.013613 (IL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2021-07-21
- Last updated
- 2021-07-21
Practice location
101 N Virginia St Ste 115
Crystal Lake, IL 60014-3426
(708) 261-8005