person
Heather Nicole Ellis
Counselor in Princeton, West Virginia
NPI 1700349198

Heather Nicole Ellis is a Counselor based in Princeton, WV. Heather Nicole Ellis practices in Princeton, WV. The NPI Number for Heather Nicole Ellis is 1700349198 and holds a License No. DP00944867 (West Virginia).

The current practice location address for Heather Nicole Ellis is 200 12Th Street Ext, Princeton, WV and can be reached out via phone at 304-425-9541 and via fax at 304-425-1332.

Location: 200 12Th Street Ext, Princeton, WV, 24740-2329
person
Provider Profile Details
NPI Number
1700349198
Provider Name
Heather Nicole Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 12Th Street Ext, Princeton, WV, 24740-2329
Phone Number
304-425-9541
Fax Number
304-425-1332
Provider Enumeration Date
04/11/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0005489001 05 WV
institution
Provider Business Practice Location Address Details
Address
200 12Th Street Ext
City
State
Zip
24740-2329
Phone Number
304-425-9541
Fax Number
304-425-1332
person
Provider Business Mailing Address Details
Address
200 12Th Street Ext
City
State
Zip
24740-2329
Phone Number
304-425-9541
Fax Number
304-425-1332
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
DP00944867 (West Virginia)
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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