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Individual

ELLIE J SIVILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC, LPC

Contact information

Practice address
428 S GILBERT RD STE 109G, GILBERT, AZ 85296-2262
(480) 256-8282
Mailing address
11120 E SHERIDAN AVE, MESA, AZ 85212-5183
(309) 255-6290

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.007018
IL
101YM0800X
Mental Health Counselor
Primary
LPC-18193
AZ

Other

Enumeration date
02/17/2010
Last updated
02/23/2023
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