Elizabeth Street, MA

NPI #1902765282 in Alton, Illinois

Provider Information

NPI Number: 1902765282
Entity Type: Individual
Name: Elizabeth Street, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MA
Enumeration Date: Jan 21, 2026
Last Updated: Jan 21, 2026

Practice Location

Address: 2615 EDWARDS ST
City: Alton
State: Illinois
ZIP Code: 62002-3915
Phone: (618) 462-2331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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