Camelle Burlock, LCPC
Counselor, Professional in Lockport, IL. Individual provider (NPI-1).
NPI number1164078341
StatusActive
Last updated in NPPESJan 24, 2025
Details
- NPI
- 1164078341
- Entity type
- Individual (NPI-1)
- Name
- Camelle Burlock
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2019
- Certification date
- Jan 24, 2025
- Last updated
- Jan 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180013913 | IL | Yes |
| 101YP2500X | Counselor, Professional | 178014890 | IL |
Practice location
16221 W 159th St Ste 102Lockport, IL 60441-7902
Phone 847-868-3435 · Fax 847-859-5885
Mailing address
175 E Hawthorn Pkwy Ste 235Vernon Hills, IL 60061-1454
Phone 847-737-8768 · Fax 847-859-5885
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