Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KERMIT J ELLISON
Active Sole ProprietorMR. KERMIT J ELLISON is a Mental Health Counselor healthcare provider located in HANOVER PARK, Illinois. NPI 1013354463 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · HANOVER PARK, IL
Registration Details
- NPI Number
- 1013354463
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2013 (13.247923916304 yrs)
- Last Updated
- May 24, 2013
- Licenses
-
180006226 (IL)2482622 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1240 BAMBURG CTHANOVER PARK, IL, 601335243Browse IL providers · Browse ZIP 60133
- Phone
- 6303726599
- Fax
- 6303726697
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- School Counselor
Other Mental Health Counselor Providers in HANOVER PARK, IL
| Name | Credential | NPI |
|---|---|---|
| GLORIA E. RODRIGUEZ | MSW, LCSW | 1962527259 |
| MR. MICHAEL JAN HOLLAND | LCPC | 1225387590 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.