Individual provider · Type 1 NPI
Peter Louis Ellew, LCPC
Professional Counselor · Evanston, IL
NPI number
1306333240
Active
Practice location
Urban Balance, 990 Grove St Suite 405
Evanston, IL 60201
Mailing address
9234 Sally Ln Apt 1E
Schiller Park, IL 60176-2316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180002073 (IL) |
Professional Counselor: Definition to come...
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About NPI 1306333240
Peter Louis Ellew, LCPC's National Provider Identifier is 1306333240, issued on Apr 17, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Evanston, IL. The record was last updated on Apr 17, 2018.