NPI | 1871877621 |
---|---|
Doing Business As | ELLIOTT COUNSELING GROUP |
Entity Type | Organization |
Authorized Contact | MELANIE I HOOGSTRAAT Credentialing Specialist 217-552-1211 |
Organization Subpart ? | No |
Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149014837) |
Enumeration Date | 2011-09-28 |
Last Update Date | 2019-11-04 |