Patrick Ellingson

NPI #1578229191 in Eden Prairie, Minnesota

Provider Information

NPI Number
1578229191
Entity Type
Individual
Name
Patrick Ellingson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Enumeration Date
Nov 9, 2021
Last Updated
Nov 9, 2021

Practice Location

Address
11010 PRAIRIE LAKES DR STE 350
ZIP Code
55344-3801
Phone
(952) 746-2522

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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