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NPI Code Detail

MEDICARE: ELLEN D HUESGEN LCPC

MEDICARE:   ELLEN D HUESGEN  LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor180.013679IL
2101Y00000XCounselorLPC.0019643CO

General Provider Information

NPI Number : 1558931030
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN D HUESGEN LCPC
Provider Business Mailing Address
First Line : 448 WYLIE DR
Second Line :
City : NORMAL
State : IL
Zip : 61761-5405
Country : US
Telephone Number : 618-512-1502
Fax Number :
Provider Business Practice Location Address
First Line : 50 NORTHGATE INDUSTRIAL DR
Second Line :
City : GRANITE CITY
State : IL
Zip : 62040-6805
Country : US
Telephone Number : 618-877-4420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2021
Last Update Date : 03/18/2026

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Directions to “ ELLEN D HUESGEN LCPC” Practice Location

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