| Kevin Elliott Counseling Inc. | |
|
44 E Main St Ste. 406 Champaign IL 61820-3636 | |
| (217) 398-9066 | |
| (217) 398-9077 |
| Full Name | Kevin Elliott Counseling Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 44 E Main St, Champaign, Illinois |
| Authorized Official Name and Position | Kevin Leslie Elliott (PRESIDENT) |
| Authorized Official Contact | 2173989066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Elliott Counseling Inc. 44 E Main St Ste. 406 Champaign IL 61820-3636 Ph: (217) 398-9066 | Kevin Elliott Counseling Inc. 44 E Main St Ste. 406 Champaign IL 61820-3636 Ph: (217) 398-9066 |
| NPI Number | 1255357422 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255357422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180003499 (Illinois) | Primary |
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