Garrett M Ellis, LPC

NPI #1164147096 in Kimberly, Wisconsin

Provider Information

NPI Number: 1164147096
Entity Type: Individual
Name: Garrett M Ellis, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Oct 4, 2022
Last Updated: Aug 27, 2024

Practice Location

Address: 1119 W KENNEDY AVE
Address 2: SUITE A
City: Kimberly
State: Wisconsin
ZIP Code: 54136-2213
Phone: (715) 349-7069

Specialties & Taxonomy Codes

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

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