Individual
ELWOOD P NYTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, MAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
149004694
IL
101YM0800X
Mental Health Counselor
149004694
IL
101YP1600X
Pastoral Counselor
—
IL
1041C0700X
Clinical Social Worker
Primary
149004694
IL
Other
Enumeration date
08/04/2006
Last updated
03/11/2010
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