person
Mrs. Jessica Ellis
Professional Counselor in Allentown, Pennsylvania
NPI 1851775704

Jessica Ellis is a Professional Counselor based in Macungie, PA and is specialized in Professional. Jessica Ellis practices in Allentown, PA. The NPI Number for Jessica Ellis is 1851775704 and holds a License No. (Pennsylvania).

The current practice location address for Jessica Ellis is 2132 S 12Th St Ste 103, Allentown, PA and can be reached out via phone at 484-359-3447.

Location: 2132 S 12Th St Ste 103, Allentown, PA, 18062-2139
person
Provider Profile Details
NPI Number
1851775704
Provider Name
Jessica Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
2132 S 12Th St Ste 103, Allentown, PA, 18062-2139
Phone Number
484-359-3447
Fax Number
Provider Enumeration Date
07/09/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1851775704 05 PA
institution
Provider Business Practice Location Address Details
Address
2132 S 12Th St Ste 103
City
State
Zip
18103-4814
Phone Number
484-359-3447
Fax Number
person
Provider Business Mailing Address Details
Address
2132 S 12Th St Ste 103
City
State
Zip
18103-4814
Phone Number
484-359-3447
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PC009799 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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