Individual provider · Type 1 NPI

Kermit J. Ellison

Mental Health Counselor · Hanover Park, IL

NPI number 1013354463 Active

About NPI 1013354463

Kermit J. Ellison's National Provider Identifier is 1013354463, issued on May 24, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hanover Park, IL. The record was last updated on May 24, 2013.