Veronica M Ellingworth, MS, LPC, SAC, ICS

NPI #1528577152 in Stoughton, Wisconsin

Provider Information

NPI Number: 1528577152
Entity Type: Individual
Name: Veronica M Ellingworth, MS, LPC, SAC, ICS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: MS, LPC, SAC, ICS
Enumeration Date: Sep 26, 2017
Last Updated: Apr 2, 2024

Practice Location

Address: 100 BUSINESS PARK CIR STE 202
City: Stoughton
State: Wisconsin
ZIP Code: 53589-5501
Phone: (608) 695-0960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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