MRS. Ellie Victoria Shattuck, PCLC

NPI #1962274662 in Bozeman, Montana

Provider Information

NPI Number
1962274662
Entity Type
Individual
Name
MRS. Ellie Victoria Shattuck, PCLC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
PCLC
Enumeration Date
Oct 25, 2023
Last Updated
Oct 25, 2023

Practice Location

Address
1970 STADIUM DR STE B
State
Montana
ZIP Code
59715-0623
Phone
(704) 574-0383

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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