MRS. Jacklyn Elizabeth Ellison, MSW, CADC, PLCSW

NPI #1285823278 in Hannibal, Missouri

Provider Information

NPI Number
1285823278
Entity Type
Individual
Name
MRS. Jacklyn Elizabeth Ellison, MSW, CADC, PLCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
MSW, CADC, PLCSW
Enumeration Date
Oct 16, 2007
Last Updated
Nov 5, 2007

Practice Location

Address
4355 PARIS GRAVEL RD
ZIP Code
63401-6017
Phone
(573) 248-3811

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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