Individual
MS. ELLEN MARIE EMMERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
210 N LONGWOOD ST, ROCKFORD, IL 61107-4134
(815) 962-5585
Mailing address
226 SANCTUARY PL, ROCKTON, IL 61072-3110
(815) 624-2851
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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