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Kerry Ellis
Mental Health Counselor in Medford, Massachusetts
NPI 1649767203

Kerry Ellis is a Mental Health Counselor based in Medford, MA and is specialized in Mental Health. Kerry Ellis practices in Medford, MA. The NPI Number for Kerry Ellis is 1649767203 and holds a License No. (Massachusetts).

The current practice location address for Kerry Ellis is 190 High St Apt 210, Medford, MA and can be reached out via phone at 339-223-7727.

Location: 190 High St Apt 210, Medford, MA, 02155-3810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649767203
Provider Name
Kerry Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
190 High St Apt 210, Medford, MA, 02155-3810
Phone Number
339-223-7727
Fax Number
Provider Enumeration Date
04/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
190 High St Apt 210
City
Medford
State
Massachusetts
Zip
02155-3810
Phone Number
339-223-7727
Fax Number
person
Provider Business Mailing Address Details
Address
190 High St Apt 210
City
Medford
State
Massachusetts
Zip
02155-3810
Phone Number
339-223-7727
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...
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