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Veronica M Ellingworth, MS,LPC,SAC,ICS
Mental Health Counselor in Stoughton, Wisconsin
NPI 1528577152

Veronica M Ellingworth is a Mental Health Counselor based in Edgerton, WI and is specialized in Mental Health. Veronica M Ellingworth practices in Stoughton, WI and has the professional credentials of MS,LPC,SAC,ICS. The NPI Number for Veronica M Ellingworth is 1528577152 and holds a License No. 6410-125 (Wisconsin).

The current practice location address for Veronica M Ellingworth is 100 Business Park Cir Ste 202, Stoughton, WI and can be reached out via phone at 608-695-0960.

Location: 100 Business Park Cir Ste 202, Stoughton, WI, 53534-1318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528577152
Provider Name
Veronica M Ellingworth
Credential
MS,LPC,SAC,ICS
Provider Entity Type
Individual
Gender
Female
Address
100 Business Park Cir Ste 202, Stoughton, WI, 53534-1318
Phone Number
608-695-0960
Fax Number
Provider Enumeration Date
09/26/2017
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
100 Business Park Cir Ste 202
City
Stoughton
State
Wisconsin
Zip
53589-5501
Phone Number
608-695-0960
Fax Number
person
Provider Business Mailing Address Details
Address
100 Business Park Cir Ste 202
City
Stoughton
State
Wisconsin
Zip
53589-5501
Phone Number
608-695-0960
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6410-125 (Wisconsin)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
6410-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
16161-131 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6410-125 (Wisconsin)
Definition
Definition to come...
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