Provider Demographics
NPI:1770643850
Name:STRICKLIN, HERBERT LEON (LCPC)
Entity Type:Individual
Prefix:MR
First Name:HERBERT
Middle Name:LEON
Last Name:STRICKLIN
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 1:26W242 PRAIRIE AVE
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-2500
Mailing Address - Country:US
Mailing Address - Phone:630-653-3608
Mailing Address - Fax:
Practice Address - Street 1:1905 W COURT ST
Practice Address - Street 2:
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901-3163
Practice Address - Country:US
Practice Address - Phone:815-933-2240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health