Provider Demographics
NPI:1811361181
Name:HEDLUND, ERIK (LPC)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:HEDLUND
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 COPPERY CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316-1954
Mailing Address - Country:US
Mailing Address - Phone:708-381-0483
Mailing Address - Fax:
Practice Address - Street 1:204 COPPERY CT
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77316-1954
Practice Address - Country:US
Practice Address - Phone:708-381-0483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-24
Last Update Date:2022-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.011483101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional