MR. Kermit J Ellison

NPI #1013354463 in Hanover Park, Illinois

Provider Information

NPI Number: 1013354463
Entity Type: Individual
Name: MR. Kermit J Ellison
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 24, 2013
Last Updated: May 24, 2013

Practice Location

Address: 1240 BAMBURG CT
City: Hanover Park
State: Illinois
ZIP Code: 60133-5243
Phone: (630) 372-6599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Counselor - School — School	101YS0200X

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