person
Ellamonique Baccus
Professional Counselor in South Holland, Illinois
NPI 1710227145

Ellamonique Baccus is a Professional Counselor based in Orland Park, IL and is specialized in Professional. Ellamonique Baccus practices in South Holland, IL. The NPI Number for Ellamonique Baccus is 1710227145 and holds a License No. 180007887 (Illinois).

The current practice location address for Ellamonique Baccus is 16107 Lasalle Street, South Holland, IL and can be reached out via phone at 800-361-6880 and via fax at 708-845-5505.

Location: 16107 Lasalle Street, South Holland, IL, 60462-4398
person
Provider Profile Details
NPI Number
1710227145
Provider Name
Ellamonique Baccus
Credential
Provider Entity Type
Individual
Gender
Female
Address
16107 Lasalle Street, South Holland, IL, 60462-4398
Phone Number
800-361-6880
Fax Number
708-845-5505
Provider Enumeration Date
02/21/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16107 Lasalle Street
City
State
Zip
60473
Phone Number
800-361-6880
Fax Number
708-845-5505
person
Provider Business Mailing Address Details
Address
16107 Lasalle Street
City
State
Zip
60473
Phone Number
800-361-6880
Fax Number
708-845-5505
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180007887 (Illinois)
Definition
Definition to come...
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