Jeremy Ellis

NPI #1003369430 in Boulder, Colorado

Provider Information

NPI Number
1003369430
Entity Type
Individual
Name
Jeremy Ellis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Aug 2, 2016
Last Updated
Aug 2, 2016

Practice Location

Address
1501 YARMOUTH AVE
ZIP Code
80304-0564
Phone
(303) 786-9314

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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