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Ellyssa Green, MSW,LCSW
Counselor in South Bend, Indiana
NPI 1811532328

Ellyssa Green is a Counselor based in South Bend, IN. Ellyssa Green practices in South Bend, IN and has the professional credentials of MSW,LCSW. The NPI Number for Ellyssa Green is 1811532328 and holds a License No. (Indiana).

The current practice location address for Ellyssa Green is 415 E Madison St, South Bend, IN and can be reached out via phone at 574-533-1234 and via fax at 574-537-2652.

Location: 415 E Madison St, South Bend, IN, 46617-2322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811532328
Provider Name
Ellyssa Green
Credential
MSW,LCSW
Provider Entity Type
Individual
Gender
Female
Address
415 E Madison St, South Bend, IN, 46617-2322
Phone Number
574-533-1234
Fax Number
574-537-2652
Provider Enumeration Date
11/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
415 E Madison St
City
South Bend
State
Indiana
Zip
46617-2322
Phone Number
574-533-1234
Fax Number
574-537-2652
person
Provider Business Mailing Address Details
Address
415 E Madison St
City
South Bend
State
Indiana
Zip
46617-2322
Phone Number
574-533-1234
Fax Number
574-537-2652
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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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