Individual provider · Type 1 NPI

Antonio Clarence Ellzey Sr., NCC, LCPC

Professional Counselor · Mokena, IL

NPI number 1174909451 Active

Practice location

9435 Bormet Dr Ste 5
Mokena, IL 60448-7401

Call (708) 995-7226 Map

Mailing address

9119S Exchange Ave
Chicago, IL 60617-4225

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XEIN-27-4113346 (IL)

Professional Counselor: Definition to come...

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About NPI 1174909451

Antonio Clarence Ellzey Sr., NCC, LCPC's National Provider Identifier is 1174909451, issued on Aug 10, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mokena, IL. The record was last updated on Oct 28, 2015.