Individual
ELISE BELKNAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
1701 S PROSPECT AVE STE 101, CHAMPAIGN, IL 61820-7054
(217) 840-2785
Mailing address
1201 S ORCHARD ST, URBANA, IL 61801-4853
(626) 390-8523
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.017398
IL
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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