SearchIllinoisMental Health Counselor

Kermit Ellison

NPI 1013354463 · on the registry since 2013 · sole proprietor

Practice

Address
1240 Bamburg Ct
Hanover Park, IL 60133
Phone
(630) 372-6599
Fax
(630) 372-6697
Clinicians at this address
7

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Also registered as
School Counselor
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-05-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois