Individual
FARRAH R ELLISON-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
18161 MORRIS AVE, HOMEWOOD, IL 60430-2108
(773) 368-4878
Mailing address
18434 CLYDE RD, HOMEWOOD, IL 60430-3014
(773) 368-4878
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180015717
IL
Other
Enumeration date
05/21/2021
Last updated
02/22/2024
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