MS. Elisa Renee Jellen, L.PC
NPI #1689902645 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1689902645
- Entity Type
- Individual
- Name
- MS. Elisa Renee Jellen, L.PC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- L.PC
- Enumeration Date
- Dec 2, 2009
- Last Updated
- Dec 2, 2009
Practice Location
- Address
- 30 GRAINEY DR
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-3217
- Phone
- (618) 205-3615
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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