Elisabeth Hill, LPC

Individual provider Active NPI Professional Counselor · Du Quoin, IL

NPI 1710344296 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1710344296
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
178.011909 (IL)
Practice address
1016 S Madison St
Du Quoin, IL 62832-2442
Phone
(618) 542-4357
Fax
(618) 542-3442
NPI assigned
Jan 28, 2016
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

State licenses

LicenseStateTypeSpecialty
178.011909ILMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X 178.011909 IL Yes

Addresses

Primary practice location

1016 S Madison St
Du Quoin, IL 62832-2442

Mailing address

1016 S Madison St
Du Quoin, IL 62832-2442
Phone (618) 542-4357

Other practice location 1

902 W Main St
West Frankfort, IL 62896-2210
Phone (618) 937-6483 ext. 7565

Other providers in Du Quoin, IL

All providers in Du Quoin, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.