Provider Demographics
NPI:1780222331
Name:KUEFLER, ELLEN R (LCPC, CAADC)
Entity Type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:R
Last Name:KUEFLER
Suffix:
Gender:F
Credentials:LCPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1129 BIG FOOT LN
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-2470
Mailing Address - Country:US
Mailing Address - Phone:630-200-9700
Mailing Address - Fax:
Practice Address - Street 1:1129 BIG FOOT LN
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-2470
Practice Address - Country:US
Practice Address - Phone:630-200-9700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-13
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.012465101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional