De'Juan Ellsworth
De'Juan Ellsworth is a Counselor in Chicago, Illinois. Licensed in Illinois and Louisiana. Registered with an NPI since 2015.
- Licensed in
- IL, LA
- In the registry since
- 2015
- Specialties on file
- 3
Practice location Address checks out
2310 W Roosevelt RdChicago, IL 60608-1131
Phone: (312) 566-4500
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X (LA) |
|---|---|
| Counselor | Taxonomy 101Y00000X (LA) |
| Counselor | Taxonomy 101Y00000X · Licence 362170821 (IL) |
Record details
| NPI number | 1467821587 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 18, 2015 |
| Last updated in NPPES | May 11, 2018 |
| Mailing address | 3604 Canal St, New Orleans, LA 70119-6111 |
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