Individual
ELIZABETH SUSAN HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, CADC
Contact information
Practice address
444 E ROOSEVELT RD STE 252, LOMBARD, IL 60148-4630
(331) 305-4055
Mailing address
444 E ROOSEVELT RD STE 252, LOMBARD, IL 60148-4630
(331) 305-4055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178016422
IL
101YM0800X
Mental Health Counselor
180015585
IL
101YP2500X
Professional Counselor
Primary
180015585
IL
Other
Enumeration date
10/22/2020
Last updated
12/04/2023
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