Provider Demographics
NPI:1760472989
Name:VOLKMAN, ELIZABETH E (MS, LCPC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:E
Last Name:VOLKMAN
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:E
Other - Last Name:CARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LCPC
Mailing Address - Street 1:520 FULLERTON RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SWANSEA
Mailing Address - State:IL
Mailing Address - Zip Code:62226-2970
Mailing Address - Country:US
Mailing Address - Phone:618-239-9455
Mailing Address - Fax:618-257-0641
Practice Address - Street 1:520 FULLERTON RD
Practice Address - Street 2:SUITE B
Practice Address - City:SWANSEA
Practice Address - State:IL
Practice Address - Zip Code:62226-2970
Practice Address - Country:US
Practice Address - Phone:618-239-9455
Practice Address - Fax:618-257-0641
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health