MEDICARE: ERIC MAJESKI LPC, CSAC, MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1801526181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC MAJESKI LPC, CSAC, MA

Provider Business Mailing Address
First Line	:	7236 WILSON TER
Second Line	:
City	:	MORTON GROVE
State	:	IL
Zip	:	60053-1144
Country	:	US
Telephone Number	:	312-722-2992
Fax Number	:

Provider Business Practice Location Address
First Line	:	2441 W TAYLOR ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-4131
Country	:	US
Telephone Number	:	773-406-9181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2022
Last Update Date	:	06/10/2022

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