person
Jodie R. Ellsworth, LPCC
Professional Counselor in Madisonville, Kentucky
NPI 1730714460

Jodie R. Ellsworth is a Professional Counselor based in Owensboro, KY and is specialized in Professional. Jodie R. Ellsworth practices in Madisonville, KY and has the professional credentials of LPCC. The NPI Number for Jodie R. Ellsworth is 1730714460 and holds a License No. 262220 (Kentucky).

The current practice location address for Jodie R. Ellsworth is 510 Ruby Dr, Madisonville, KY and can be reached out via phone at 270-399-7900 and via fax at 270-399-7910. You can also correspond with Jodie R. Ellsworth through the mailing address at PO BOX 23229, OWENSBORO, KY - 42304-3229 (mailing address contact number: 270-688-1330).

Location: 510 Ruby Dr, Madisonville, KY, 42304-3229
person
Provider Profile Details
NPI Number
1730714460
Provider Name
Jodie R. Ellsworth
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
510 Ruby Dr, Madisonville, KY, 42304-3229
Phone Number
270-399-7900
Fax Number
270-399-7910
Provider Enumeration Date
03/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
510 Ruby Dr
City
State
Zip
42431-2168
Phone Number
270-399-7900
Fax Number
270-399-7910
person
Provider Business Mailing Address Details
Address
510 Ruby Dr
City
State
Zip
42431-2168
Phone Number
270-399-7900
Fax Number
270-399-7910
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
262220 (Kentucky)
Definition
Definition to come...
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