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Keith Ellis
Counselor in Somerville, Massachusetts
NPI 1194166942

Keith Ellis is a Counselor based in Haverhill, MA. Keith Ellis practices in Somerville, MA. The NPI Number for Keith Ellis is 1194166942 and holds a License No. (Massachusetts).

The current practice location address for Keith Ellis is 11 Ward St, Somerville, MA and can be reached out via phone at 617-629-6790. You can also correspond with Keith Ellis through the mailing address at 40 LOCKE ST UNIT 525, HAVERHILL, MA - 01830-5503 (mailing address contact number: ).

Location: 11 Ward St, Somerville, MA, 01830-5503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194166942
Provider Name
Keith Ellis
Credential
Provider Entity Type
Individual
Gender
Male
Address
11 Ward St, Somerville, MA, 01830-5503
Phone Number
617-629-6790
Fax Number
Provider Enumeration Date
07/09/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11 Ward St
City
Somerville
State
Massachusetts
Zip
02143-4214
Phone Number
617-629-6790
Fax Number
person
Provider Business Mailing Address Details
Address
40 Locke St Unit 525
City
Haverhill
State
Massachusetts
Zip
01830-5503
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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