NPI:
1871877621
Provider Name:
KEVIN ELLIOTT COUNSELING, INC.
Doing Business As: ELLIOTT COUNSELING GROUP
Classification:
Registered Nurse - 163WP0807X
Entity Type:
Organization
Specialization: Psychiatric/Mental Health, Child & Adolescent
Address:
309 W CLARK ST
CHAMPAIGN, IL
ZIP 61820
Phone:
(217) 398-9066
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KEVIN ELLIOTT COUNSELING, INC. is a psychiatric/mental health and child and adolescent registered nurse in Champaign, IL. KEVIN ELLIOTT COUNSELING, INC. NPI is 1871877621. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Elliott Counseling Group.
The provider's business location address is:
309 W CLARK ST
CHAMPAIGN, IL
ZIP 61820
Phone: (217) 398-9066
Fax: (217) 398-9077
The provider's authorized official is Melanie I Hoogstraat .
The authorized official title is Credentialing Specialist and has the following contact phone number (217) 552-1211.
The enumeration date for this NPI number is 9/28/2011 and was last updated on 11/4/2019.