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Tiana Ellison
Professional Counselor in Lovell, Wyoming
NPI 1871984476

Tiana Ellison is a Professional Counselor based in Greybull, WY and is specialized in Professional. Tiana Ellison practices in Lovell, WY. The NPI Number for Tiana Ellison is 1871984476 and holds a License No. PPC-873 (Wyoming).

The current practice location address for Tiana Ellison is 1114 Lane 12, Lovell, WY and can be reached out via phone at 307-568-2020.

Location: 1114 Lane 12, Lovell, WY, 82426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871984476
Provider Name
Tiana Ellison
Credential
Provider Entity Type
Individual
Gender
Female
Address
1114 Lane 12, Lovell, WY, 82426
Phone Number
307-568-2020
Fax Number
Provider Enumeration Date
02/18/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1114 Lane 12
City
Lovell
State
Wyoming
Zip
82431-9555
Phone Number
307-568-2020
Fax Number
person
Provider Business Mailing Address Details
Address
1114 Lane 12
City
Lovell
State
Wyoming
Zip
82431-9555
Phone Number
307-568-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC-1623 (Wyoming)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
PPC-873 (Wyoming)
Definition
Definition to come...
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