Individual
ALBERT ELLIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
395 WEST LINCOLN HIGHWAY, CHICAGO HEIGHTS, IL 60411
(708) 755-5117
Mailing address
395 W LINCOLN HWY, CHICAGO HEIGHTS, IL 60411-2442
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17166
IL
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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