Jellen, Elisa Renee
Jellen, Elisa Renee is an sole proprietor health care provider with primary practice located at 30 Grainey Dr , Glen Carbon IL 62034-3217. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jellen, Elisa Renee can be contacted via phone (618) 205-3615.Contact Information
Primary practice address
30 Grainey Dr
Glen Carbon IL 62034-3217
Phone: (618) 205-3615
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2009009733 | Missouri |
Profile Details
| NPI number | 1689902645 |
|---|---|
| LBN Legal business name | Jellen, Elisa Renee |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2009 |
| Last updated | Dec 2nd, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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