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Susan Ellis, LPC
Mental Health Counselor in Germantown, Wisconsin
NPI 1285247114

Susan Ellis is a Mental Health Counselor based in Germantown, WI and is specialized in Mental Health. Susan Ellis practices in Germantown, WI and has the professional credentials of LPC. The NPI Number for Susan Ellis is 1285247114 and holds a License No. (Wisconsin).

The current practice location address for Susan Ellis is W175N11163 Stonewood Dr Ste 106, Germantown, WI and can be reached out via phone at 262-345-4270.

Location: W175N11163 Stonewood Dr Ste 106, Germantown, WI, 53022-6501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285247114
Provider Name
Susan Ellis
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
W175N11163 Stonewood Dr Ste 106, Germantown, WI, 53022-6501
Phone Number
262-345-4270
Fax Number
Provider Enumeration Date
08/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
W175N11163 Stonewood Dr Ste 106
City
Germantown
State
Wisconsin
Zip
53022-6501
Phone Number
262-345-4270
Fax Number
person
Provider Business Mailing Address Details
Address
W175N11163 Stonewood Dr Ste 106
City
Germantown
State
Wisconsin
Zip
53022-6501
Phone Number
262-345-4270
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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