Individual
ELLISE ANN HASKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
2 WOOLERY DR, NEOGA, IL 62447-2207
(217) 273-3409
Mailing address
2 WOOLERY DR, NEOGA, IL 62447-2207
(217) 273-3409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.015708
IL
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
03/08/2022
Last updated
02/17/2025
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