Individual
LINDSEY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CRADC
Contact information
Practice address
303 LANDMARK DR STE 2B, NORMAL, IL 61761-6164
(309) 808-2388
Mailing address
303 LANDMARK DR STE 2B, NORMAL, IL 61761-6164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35632
IL
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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