Eleni Clavijo

Individual provider Active NPI Professional Counselor · Schererville, IN

NPI 1265214522 · NPPES record last updated Oct 19, 2023

Key facts

NPI
1265214522
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
1332 Lily CT
Schererville, IN 46375-1480
Phone
(219) 487-7623
NPI assigned
Oct 19, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Yes

Addresses

Primary practice location

1332 Lily CT
Schererville, IN 46375-1480

Mailing address

1332 Lily CT
Schererville, IN 46375-1480

Other providers in Schererville, IN

All providers in Schererville, IN · Professional Counselor in Indiana

Sources for this page

Verify at the official NPI Registry.