MR. Kevin Leslei Elliott, LCPC

NPI #1982618526 in Champaign, Illinois

Provider Information

NPI Number: 1982618526
Entity Type: Individual
Name: MR. Kevin Leslei Elliott, LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Jul 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 44 E MAIN ST
Address 2: STE. 406
City: Champaign
State: Illinois
ZIP Code: 61820-3636
Phone: (217) 398-9066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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