Mr. Kermit J Ellison
School Counselor Mental Health Counselor
1240 Bamburg Ct
Hanover Park
, Illinois 60133-5243
Mr. Kermit J Ellison
School Counselor Mental Health Counselor
1240 Bamburg Ct
Hanover Park
, Illinois 60133-5243
(630) 372-6697
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About
Features
Specialties
- Mental Health Counselor
- School Counselor
Languages spoken
- English
Location
First Address
- Mr. Kermit J Ellison
- 1240 Bamburg Ct
- Hanover Park, IL
- Zip : 60133-5243
- Fax : (630) 372-6697
- Phone : (630) 372-6599
Second Address
- Mr. Kermit J Ellison
- 1240 Bamburg Ct
- Hanover Park, IL
- Zip : 60133-5243
- Fax : (630) 372-6697
- Phone : (630) 372-6599
Reviews
FAQs
Where did Mr. Kermit J Ellison attend graduate school?
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Where did Mr. Kermit J Ellison do his fellowship?
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What type of doctor is Mr. Kermit J Ellison
In what state does Mr. Kermit J Ellison practice in?
Where is Mr. Kermit J Ellison ’s practice located?
What is Mr. Kermit J Ellison ’s gender?
Is Mr. Kermit J Ellison a sole practitioner?
Is Mr. Kermit J Ellison accepting new patients?
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Does Mr. Kermit J Ellison have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | 180006226 | IL |
| N | 101YS0200X | School Counselor | 2482622 | IL |
National Provider Identifier
| NPI | 1013354463 |
|---|---|
| Provider Name | Mr. Kermit J Ellison |
| First Address | Hanover Park, IL 60133-5243 |
| Second Address | Hanover Park, IL 60133-5243 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2013 |
| Last Update Date | 24/05/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.