Larsen, Elizabeth

Larsen, Elizabeth is an sole proprietor health care provider with primary practice located at 1144 Coldspring Rd , Elgin IL 60120-5102. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Larsen, Elizabeth can be contacted via phone (847) 622-7852.

Contact Information

Primary practice address
1144 Coldspring Rd Elgin IL 60120-5102
Phone: (847) 622-7852
Fax: (847) 381-9297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1053461293
LBN Legal business name Larsen, Elizabeth
Credentials LCSW, CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053461293 NPPES
Illinois Other 11232 DRUG & ALCOHOL COUNSELOR

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