Elliott Counseling Group | |
309 W Clark St Champaign IL 61820 | |
(217) 398-9066 | |
(217) 398-9077 |
Full Name | Elliott Counseling Group |
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Speciality | Registered Nurse - Psychiatric/mental Health, Child & Adolescent |
Location | 309 W Clark St, Champaign, Illinois |
Authorized Official Name and Position | Melanie I Hoogstraat (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 2175521211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elliott Counseling Group 44 E Main St Suite 406 Champaign IL 61820-3636 Ph: (217) 398-9066 | Elliott Counseling Group 309 W Clark St Champaign IL 61820 Ph: (217) 398-9066 |
NPI Number | 1871877621 |
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Provider Enumeration Date | 09/28/2011 |
Last Update Date | 11/04/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871877621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149014837 (Illinois) | Secondary |
163WP0807X | Registered Nurse - Psychiatric/mental Health, Child & Adolescent | (* (Not Available)) | Primary |
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