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Mrs. Ellen Sue Kiesewetter, LCPC
Counselor in Peoria, Illinois
NPI 1710080320

Ellen Sue Kiesewetter is a Counselor based in Peoria, IL. Ellen Sue Kiesewetter practices in Peoria, IL and has the professional credentials of LCPC. The NPI Number for Ellen Sue Kiesewetter is 1710080320 and holds a License No. (Illinois).

The current practice location address for Ellen Sue Kiesewetter is 6615 N Big Hollow Rd, Peoria, IL and can be reached out via phone at 309-692-6622 and via fax at 309-692-6952.

Location: 6615 N Big Hollow Rd, Peoria, IL, 61615-2451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710080320
Provider Name
Ellen Sue Kiesewetter
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
6615 N Big Hollow Rd, Peoria, IL, 61615-2451
Phone Number
309-692-6622
Fax Number
309-692-6952
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6615 N Big Hollow Rd
City
Peoria
State
Illinois
Zip
61615-2451
Phone Number
309-692-6622
Fax Number
309-692-6952
person
Provider Business Mailing Address Details
Address
6615 N Big Hollow Rd
City
Peoria
State
Illinois
Zip
61615-2451
Phone Number
309-692-6622
Fax Number
309-692-6952
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(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.
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