Individual
ELISA JULIA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, NBCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178013267
IL
101YP2500X
Professional Counselor
Primary
180013779
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
$$$$$$$$$
—
IL
Enumeration date
05/19/2016
Last updated
03/27/2023
Update your record
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