Individual
ELISE NOELLE CHAMPANHET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2207 WOODHAVENS DR, BLOOMINGTON, IL 61701-7812
(312) 561-6289
Mailing address
6324 GREENLAND RD, UNION, KY 41091-3402
(989) 600-4610
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
05/16/2024
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