MS. Gina R Ellison, LCPC

NPI #1275706012 in Moline, Illinois

Provider Information

NPI Number: 1275706012
Entity Type: Individual
Name: MS. Gina R Ellison, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LCPC
Enumeration Date: Apr 11, 2008
Last Updated: Apr 11, 2008

Practice Location

Address: 4600 3RD ST
City: Moline
State: Illinois
ZIP Code: 61265-6106
Phone: (309) 779-2031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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