Individual
ELYSE AZRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MA, CRC, LPC
Contact information
Practice address
250 E SUPERIOR ST STE 5-2221, CHICAGO, IL 60611-2914
(312) 472-4251
Mailing address
31 SOUTHFIELD DR, VERNON HILLS, IL 60061-3258
(847) 922-3705
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178.013454
IL
170300000X
Genetic Counselor (M.S.)
Primary
247.000193
IL
225C00000X
Rehabilitation Counselor
00270804
IL
Other
Enumeration date
06/23/2020
Last updated
01/16/2024
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