Individual provider · Type 1 NPI

Elizabeth Street, MA, LPC

Professional Counselor · Alton, IL

NPI number 1902765282 Active

Practice location

2615 Edwards St
Alton, IL 62002-3915

Fax (618) 462-2504

Mailing address

902 W Main St
West Frankfort, IL 62896-2210

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.023476 (IL)

Professional Counselor: Definition to come...

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About NPI 1902765282

Elizabeth Street, MA, LPC's National Provider Identifier is 1902765282, issued on Jan 21, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Alton, IL. The record was last updated on Sep 24, 2026.