Ellen Sue Kiesewetter in Peoria - Counselor
Ellen Sue Kiesewetter - NPI 1710080320
Ellen Sue Kiesewetter is a Counselor in Peoria, Illinois. Ellen Sue Kiesewetter practices all healthcare services and medical treatments related to Counselor. The NPI Number for Ellen Sue Kiesewetter is 1710080320. The last update date is 2007-07-08.
Ellen Sue Kiesewetter's current location address is 6615 N Big Hollow Rd, Peoria, Illinois. You can contact this provider via phone number 3096926622 and fax number 3096926952. The mailing address for Ellen Sue Kiesewetter is 6615 N Big Hollow Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Sue Kiesewetter |
|---|---|
| Address | 6615 N Big Hollow Rd, Peoria, Illinois |
| Phone Number | 3096926622 |
| Fax Number | 3096926952 |
| Sole Proprietor | N |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1710080320 |
|---|---|
| Provider Enumeration Date | 2006-09-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6615 N Big Hollow Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616152451 |
| Phone Number | 3096926622 |
| Fax Number | 3096926952 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
|
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 supe |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ellen Sue Kiesewetter by the Centers for Medicare & Medicaid Services?
The Ellen Sue Kiesewetter has been issued the NPI (National Provider Identifier) 1710080320 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Ellen Sue Kiesewetter is located?
The Ellen Sue Kiesewetter is situated at the following address: 6615 N Big Hollow Rd, Peoria, IL, 616152451.
Could you kindly provide the complete physical address where Ellen Sue Kiesewetter's facilities are geographically located?
The facilities of Ellen Sue Kiesewetter are physically situated at the following location: 6615 N Big Hollow Rd, Peoria, IL, 616152451.
On what date did Ellen Sue Kiesewetter receive its 1710080320 assignment from the Centers for Medicare & Medicaid Services?
The Ellen Sue Kiesewetter was assigned its 1710080320 on 2006-09-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Ellen Sue Kiesewetter most recently updated or refreshed?
The details pertaining to the Ellen Sue Kiesewetter, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.