Individual
DANIELLE ZELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
109 E LAWRENCE AVE, SPRINGFIELD, IL 62704-2604
(217) 528-5253
Mailing address
23314 INDIAN POINT AVE, PETERSBURG, IL 62675-7049
(217) 416-6504
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180-001763
IL
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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