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Mr. Jeffrey Ellenstein, MA,EDM,LPC
Professional Counselor in Marshall, Michigan
NPI 1851506380

Jeffrey Ellenstein is a Professional Counselor based in Marshall, MI and is specialized in Professional. Jeffrey Ellenstein practices in Marshall, MI and has the professional credentials of MA,EDM,LPC. The NPI Number for Jeffrey Ellenstein is 1851506380 and holds a License No. 6401013144 (Michigan).

The current practice location address for Jeffrey Ellenstein is 200 N Madison St, Marshall, MI and can be reached out via phone at 269-789-3912.

Location: 200 N Madison St, Marshall, MI, 49068-1143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851506380
Provider Name
Jeffrey Ellenstein
Credential
MA,EDM,LPC
Provider Entity Type
Individual
Gender
Male
Address
200 N Madison St, Marshall, MI, 49068-1143
Phone Number
269-789-3912
Fax Number
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6401013144 01 MI LICENSE
institution
Provider Business Practice Location Address Details
Address
200 N Madison St
City
Marshall
State
Michigan
Zip
49068-1143
Phone Number
269-789-3912
Fax Number
person
Provider Business Mailing Address Details
Address
200 N Madison St
City
Marshall
State
Michigan
Zip
49068-1143
Phone Number
269-789-3912
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6401013144 (Michigan)
Definition
Definition to come...
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