Elizabeth Jeremiah, MA, QMHP, LCPC, LPHA

NPI #1023408200 in Shiloh, Illinois

Provider Information

NPI Number: 1023408200
Entity Type: Individual
Name: Elizabeth Jeremiah, MA, QMHP, LCPC, LPHA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: MA, QMHP, LCPC, LPHA
Enumeration Date: Jan 27, 2015
Last Updated: Jan 24, 2020

Practice Location

Address: 1161 FORTUNE BLVD STE 400
City: Shiloh
State: Illinois
ZIP Code: 62269-7385
Phone: (618) 303-7544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor	101Y00000X	Primary

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