Individual provider · Type 1 NPI

Ella Marie Lee, LCPC

Professional Counselor · Peoria, IL

NPI number 1053975532 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Fax (309) 308-2031

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.006423 (IL)

Professional Counselor: Definition to come...

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About NPI 1053975532

Ella Marie Lee, LCPC's National Provider Identifier is 1053975532, issued on Apr 30, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, IL. The record was last updated on Apr 30, 2019.