Pellok Harris, Brooke Ann
Pellok Harris, Brooke Ann is an individual health care provider with primary practice located at 2220 S State Route 157 Ste 200D , Glen Carbon IL 62034-1724. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Pellok Harris, Brooke Ann can be contacted via phone (618) 659-5411.Contact Information
Primary practice address
2220 S State Route 157 Ste 200D
Glen Carbon IL 62034-1724
Phone: (618) 659-5411
Fax: (618) 659-5411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 178014379 | Illinois |
Profile Details
| NPI number | 1447817713 |
|---|---|
| LBN Legal business name | Pellok Harris, Brooke Ann |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2019 |
| Last updated | May 22nd, 2019 - about 5 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.
Popular Providers
-
Prior, Megan Elizabeth
46 Morningside Dr , Glen Carbon IL 62034-1472 -
Harris, Erin
88 S Main St , Glen Carbon IL 62034-1415 -
Post, Paula H
16 Junction Dr W , Glen Carbon IL 62034-2996 -
Brand, Rebecca Allison
182 S Main St , Glen Carbon IL 62034-1419 -
Jellen, Elisa Renee
30 Grainey Dr , Glen Carbon IL 62034-3217 -
Roemer, Katie
9 Junction Dr W Ste 3 , Glen Carbon IL 62034-2931 -
Duelm, Kristi
2 Gray Wolfe Ct , Glen Carbon IL 62034-1374 -
Karvinen, Tracy
2220 S State Route 157 Suite 200D, Glen Carbon IL 62034-1724