person
Ms. Marlene S Ellis, LISW
Mental Health Counselor in Fremont, Ohio
NPI 1619008505

Marlene S Ellis is a Mental Health Counselor based in Fremont, OH and is specialized in Mental Health. Marlene S Ellis practices in Fremont, OH and has the professional credentials of LISW. The NPI Number for Marlene S Ellis is 1619008505 and holds a License No. I-0007955 (Ohio).

The current practice location address for Marlene S Ellis is 212 S Park Ave, Fremont, OH and can be reached out via phone at 419-332-4722 and via fax at 419-334-8590.

Location: 212 S Park Ave, Fremont, OH, 43420-2954
person
Provider Profile Details
NPI Number
1619008505
Provider Name
Marlene S Ellis
Credential
LISW
Provider Entity Type
Individual
Gender
Female
Address
212 S Park Ave, Fremont, OH, 43420-2954
Phone Number
419-332-4722
Fax Number
419-334-8590
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000372656 01 OH ANTHEM
5889631 01 OH AETNA
institution
Provider Business Practice Location Address Details
Address
212 S Park Ave
City
State
Zip
43420-2954
Phone Number
419-332-4722
Fax Number
419-334-8590
person
Provider Business Mailing Address Details
Address
212 S Park Ave
City
State
Zip
43420-2954
Phone Number
419-332-4722
Fax Number
419-334-8590
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
I-0007955 (Ohio)
Definition
Definition to come...
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