Individual
MS. ELENA MARIE LILLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
13130 BURBANK BLVD, SHERMAN OAKS, CA 91401-6037
(818) 947-5567
Mailing address
942 10TH ST, 2, SANTA MONICA, CA 90403-2921
(909) 557-0959
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/30/2008
Last updated
02/03/2011
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