Anthony Ellie, LPC, NBCC, MA

NPI #1164174645 in Plymouth, Wisconsin

Provider Information

NPI Number
1164174645
Entity Type
Individual
Name
Anthony Ellie, LPC, NBCC, MA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC, NBCC, MA
Enumeration Date
Jan 25, 2022
Last Updated
Jun 15, 2023

Practice Location

Address
2209 EASTERN AVE
ZIP Code
53073-4281
Phone
(920) 892-7606

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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