Individual provider · Type 1 NPI

Nathan Ellis

Mental Health Counselor · Westchester, IL

NPI number 1245639772 Active

Practice location

9845 W Roosevelt Rd
Westchester, IL 60154-2758

Call (708) 681-2325 Map

Mailing address

1820 S 25th Ave
Broadview, IL 60155-2864

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245639772

Nathan Ellis's National Provider Identifier is 1245639772, issued on Aug 20, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Westchester, IL. The record was last updated on Aug 20, 2014.