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Organization
KEVIN ELLIOTT COUNSELING, PC
Active
Organization
KEVIN ELLIOTT COUNSELING, PC
Active
Other names
Kevin Elliott Counseling, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE I HOOGSTRAAT (CREDENTIALING SPECIALIST)
(217) 552-1211
Entity
Organization
Contact information
Practice address
2001 PHILO RD, URBANA, IL 61802-8007
(217) 398-9066
(217) 398-9077
Mailing address
2001 PHILO RD, URBANA, IL 61802-8007
(217) 398-9066
(217) 398-9077
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
149014837
IL
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
Other
Enumeration date
09/28/2011
Last updated
06/30/2025
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