Ellamonique Baccus
Ellamonique Baccus is a Professional Counselor in South Holland, Illinois. Licensed in Illinois. Registered with an NPI since 2013.
- Licensed in
- IL
- In the registry since
- 2013
Practice location Address checks out
16107 Lasalle StSouth Holland, IL 60473
Phone: (800) 361-6880
Fax: (708) 845-5505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 180007887 (IL) |
|---|
Record details
| NPI number | 1710227145 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 21, 2013 |
| Last updated in NPPES | February 21, 2013 |
| Mailing address | 15127 S 73rd Ave, Suite G, Orland Park, IL 60462-4398 |
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-
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