Provider Demographics
NPI:1538993225
Name:ELSLAGER, MARLEE JAYNE (LPC)
Entity type:Individual
Prefix:
First Name:MARLEE
Middle Name:JAYNE
Last Name:ELSLAGER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13717 LINCOLNSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-1528
Mailing Address - Country:US
Mailing Address - Phone:708-642-8845
Mailing Address - Fax:
Practice Address - Street 1:9501 W 144TH PL STE 304
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-2564
Practice Address - Country:US
Practice Address - Phone:708-580-4713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-27
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.018442101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health