Individual
MISS AUDRA JAYE ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RSA
Contact information
Practice address
121 E 2ND ST, BEARDSTOWN, IL 62618-1263
(217) 323-2980
(217) 323-3731
Mailing address
121 E 2ND ST, BEARDSTOWN, IL 62618-1263
(217) 323-2980
(217) 323-3731
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/10/2017
Last updated
07/21/2022
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