Garrett Brandon Ellis, LCPC/C

NPI #1033561568 in Waterville, Maine

Provider Information

NPI Number: 1033561568
Entity Type: Individual
Name: Garrett Brandon Ellis, LCPC/C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LCPC/C
Enumeration Date: Jul 8, 2016
Last Updated: Jul 8, 2016

Practice Location

Address: 67 EUSTIS PKWY
City: Waterville
State: Maine
ZIP Code: 04901-5173
Phone: (207) 873-2136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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