Individual
CONNIE J ELIOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2027 DAVIS AVENUE, WHITNING, IN 46394
(219) 659-1137
Mailing address
2027 DAVIS AVENUE, WHITNING, IN 46394
(219) 659-1137
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000667A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100163580
—
IN
Enumeration date
10/21/2008
Last updated
10/21/2008
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