Provider Demographics
NPI:1225325871
Name:CONNOR, ERIC HALLOWELL (LCPC)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:HALLOWELL
Last Name:CONNOR
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 ORRINGTON AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-5016
Mailing Address - Country:US
Mailing Address - Phone:847-328-7588
Mailing Address - Fax:
Practice Address - Street 1:1618 ORRINGTON AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-5016
Practice Address - Country:US
Practice Address - Phone:847-328-7588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178007094101YM0800X
IL180009658101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health