Provider Demographics
NPI:1427711431
Name:HILLSTROM, ERICA ALLEN (LCPC)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:ALLEN
Last Name:HILLSTROM
Suffix:
Gender:
Credentials:LCPC
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:ALLEN
Other - Last Name:FORKNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:7 BLANCHARD CIR STE 201
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-2039
Mailing Address - Country:US
Mailing Address - Phone:781-738-5528
Mailing Address - Fax:
Practice Address - Street 1:7 BLANCHARD CIR STE 201
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-2039
Practice Address - Country:US
Practice Address - Phone:630-653-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-17
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.016167101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional