MS. Kim Ellen, M.A., L.P.C.
NPI #1205025079 in Wilmington, North Carolina
Provider Information
- NPI Number
- 1205025079
- Entity Type
- Individual
- Name
- MS. Kim Ellen, M.A., L.P.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- M.A., L.P.C.
- Enumeration Date
- Oct 17, 2007
- Last Updated
- Dec 16, 2009
Practice Location
- Address
- 615 SHIPYARD BLVD
- City
- Wilmington
- State
- North Carolina
- ZIP Code
- 28412-6431
- Phone
- (910) 343-0145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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