Individual provider · Type 1 NPI

Elizabeth Jeremiah, MA, QMHP, LCPC, LPHA

Counselor · Shiloh, IL

NPI number 1023408200 Active

Practice location

1161 Fortune Blvd Ste 400
Shiloh, IL 62269-7385

Fax (618) 206-8476

Mailing address

6432 Hancock Ave
St. Louis, MO 63139-2033

Other practice locations

  • 50 Northgate Industrial Dr, Granite City, IL 62040-6805 · (618) 789-1959

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X180.009474 (IL)
Counselor Primary 101Y00000X180.009474 (IL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

6 other providers at this address

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About NPI 1023408200

Elizabeth Jeremiah, MA, QMHP, LCPC, LPHA's National Provider Identifier is 1023408200, issued on Jan 27, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Shiloh, IL. The record was last updated on Jan 24, 2020.