Individual
ELLIS HEYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1121 E MAIN ST STE 201, ST CHARLES, IL 60174-2205
(630) 699-5518
Mailing address
1121 E MAIN ST STE 201, ST CHARLES, IL 60174-2205
(630) 699-5518
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.020542
IL
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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