Individual
ELLEN BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 MADISON ST, ALGONQUIN, IL 60102-2150
(847) 738-6968
Mailing address
511 SKYLINE DR, ALGONQUIN, IL 60102-2150
(847) 738-6968
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.012474
IL
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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