Individual provider · Type 1 NPI

Michael David Elmore, BS

Mental Health Counselor · Beardstown, IL

NPI number 1225502891 Active

Practice location

121 E 2nd St
Beardstown, IL 62618-1263

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1225502891

Michael David Elmore, BS's National Provider Identifier is 1225502891, issued on Jan 17, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Beardstown, IL. The record was last updated on Jan 17, 2019.