Kermit J Ellison is a Mental Health Counselor in the HANOVER PARK area. Kermit J Ellison primary office location is at 1240 BAMBURG CT and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1013354463 and the information was updated approximately 11 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: NO
License Number | State |
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180006226 | IL |
2482622 | IL |
Taxonomy | State | Primary? |
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Mental Health Counselor - Taxonomy Code 101YM0800X | IL | Y |
School Counselor - Taxonomy Code 101YS0200X | IL | N |