Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003219098 |
---|---|
Provider Name | Elissha Lenhardt |
First Address | Alton, IL 62002-3915 |
Second Address | Alton, IL 62002-3915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2014 |
Last Update Date | 03/10/2014 |