Individual
KATHLEEN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3499 ROUTE 9 N STE 2C, FREEHOLD, NJ 07728-3277
(732) 982-2888
(847) 859-5885
Mailing address
175 E HAWTHORN PKWY STE 235, VERNON HILLS, IL 60061-1454
(847) 868-3435
(847) 859-5885
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00583600
NJ
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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