person
Anthony Ellie, LPC,NBCC,MA
Professional Counselor in Plymouth, Wisconsin
NPI 1164174645

Anthony Ellie is a Professional Counselor based in Plymouth, WI and is specialized in Professional. Anthony Ellie practices in Plymouth, WI and has the professional credentials of LPC,NBCC,MA. The NPI Number for Anthony Ellie is 1164174645 and holds a License No. 10475-125 (Wisconsin).

The current practice location address for Anthony Ellie is 2209 Eastern Ave, Plymouth, WI and can be reached out via phone at 920-892-7606 and via fax at 920-449-4247.

Location: 2209 Eastern Ave, Plymouth, WI, 53073-4281
person
Provider Profile Details
NPI Number
1164174645
Provider Name
Anthony Ellie
Credential
LPC,NBCC,MA
Provider Entity Type
Individual
Gender
Male
Address
2209 Eastern Ave, Plymouth, WI, 53073-4281
Phone Number
920-892-7606
Fax Number
920-449-4247
Provider Enumeration Date
01/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2209 Eastern Ave
City
State
Zip
53073-4281
Phone Number
920-892-7606
Fax Number
920-449-4247
person
Provider Business Mailing Address Details
Address
2209 Eastern Ave
City
State
Zip
53073-4281
Phone Number
920-892-7606
Fax Number
920-449-4247
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
10475-125 (Wisconsin)
Definition
Definition to come...
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