Provider Demographics
NPI:1235984907
Name:ERRION, SETH MICHAEL (LCPC)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:MICHAEL
Last Name:ERRION
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 1:2000 W PIONEER PKWY STE 14
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61615-1882
Mailing Address - Country:US
Mailing Address - Phone:309-550-1001
Mailing Address - Fax:309-322-6470
Practice Address - Street 1:2000 W PIONEER PKWY STE 14
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61615-1882
Practice Address - Country:US
Practice Address - Phone:309-550-1001
Practice Address - Fax:309-322-6470
Is Sole Proprietor?:No
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.015181101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health