Individual
ELIZBETH HUSS SECRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
340 W STATE ST, JACKSONVILLE, IL 62650-2061
(217) 245-6126
(217) 245-4296
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(800) 577-5368
(217) 757-2021
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.012989
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180012989
LCPC
IL
Enumeration date
06/17/2020
Last updated
06/17/2020
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