person
Garrett M Ellis, LPC-IT
Professional Counselor in Kimberly, Wisconsin
NPI 1164147096

Garrett M Ellis is a Professional Counselor based in Siren, WI and is specialized in Professional. Garrett M Ellis practices in Kimberly, WI and has the professional credentials of LPC-IT. The NPI Number for Garrett M Ellis is 1164147096 and holds a License No. 5141 (Wisconsin).

The current practice location address for Garrett M Ellis is 1119 W Kennedy Ave, Kimberly, WI and can be reached out via phone at 715-349-7069.

Location: 1119 W Kennedy Ave, Kimberly, WI, 54872-0309
person
Provider Profile Details
NPI Number
1164147096
Provider Name
Garrett M Ellis
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Male
Address
1119 W Kennedy Ave, Kimberly, WI, 54872-0309
Phone Number
715-349-7069
Fax Number
Provider Enumeration Date
10/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1119 W Kennedy Ave
City
State
Zip
54136-2213
Phone Number
715-349-7069
Fax Number
person
Provider Business Mailing Address Details
Address
1119 W Kennedy Ave
City
State
Zip
54136-2213
Phone Number
715-349-7069
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5141 (Wisconsin)
Definition
Definition to come...
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