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Elizabeth Jeremiah, MA,QMHP,LCPC,LPHA
Counselor in Shiloh, Illinois
NPI 1023408200

Elizabeth Jeremiah is a Counselor based in Saint Louis, IL. Elizabeth Jeremiah practices in Shiloh, IL and has the professional credentials of MA,QMHP,LCPC,LPHA. The NPI Number for Elizabeth Jeremiah is 1023408200 and holds a License No. 180.009474 (Illinois).

The current practice location address for Elizabeth Jeremiah is 1161 Fortune Blvd Ste 400, Shiloh, IL and can be reached out via phone at 618-303-7544 and via fax at 618-206-8476.

Location: 1161 Fortune Blvd Ste 400, Shiloh, IL, 63139-2033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023408200
Provider Name
Elizabeth Jeremiah
Credential
MA,QMHP,LCPC,LPHA
Provider Entity Type
Individual
Gender
Female
Address
1161 Fortune Blvd Ste 400, Shiloh, IL, 63139-2033
Phone Number
618-303-7544
Fax Number
618-206-8476
Provider Enumeration Date
01/27/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1161 Fortune Blvd Ste 400
City
Shiloh
State
Illinois
Zip
62269-7385
Phone Number
618-303-7544
Fax Number
618-206-8476
person
Provider Business Mailing Address Details
Address
1161 Fortune Blvd Ste 400
City
Shiloh
State
Illinois
Zip
62269-7385
Phone Number
618-303-7544
Fax Number
618-206-8476
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
180.009474 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
180.009474 (Illinois)
Definition
Definition to come...
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