person
David Jeffrey Ellis, LPC
Mental Health Counselor in Havelock, North Carolina
NPI 1912987744

David Jeffrey Ellis is a Mental Health Counselor based in Havelock, NC and is specialized in Mental Health. David Jeffrey Ellis practices in Havelock, NC and has the professional credentials of LPC. The NPI Number for David Jeffrey Ellis is 1912987744 and holds a License No. 4832 (North Carolina).

The current practice location address for David Jeffrey Ellis is 318A E Main St, Havelock, NC and can be reached out via phone at 252-447-7764 and via fax at 252-444-6800.

Location: 318A E Main St, Havelock, NC, 28532-2214
person
Provider Profile Details
NPI Number
1912987744
Provider Name
David Jeffrey Ellis
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
318A E Main St, Havelock, NC, 28532-2214
Phone Number
252-447-7764
Fax Number
252-444-6800
Provider Enumeration Date
01/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
256439 01 NC COMPSYCH PROVIDER
139NN 01 NC BC PROFESSIONAL COUNSELOR
361114 01 NC MHN PROVIDER
6102666 05 NC
institution
Provider Business Practice Location Address Details
Address
318A E Main St
City
State
Zip
28532-2214
Phone Number
252-447-7764
Fax Number
252-444-6800
person
Provider Business Mailing Address Details
Address
318A E Main St
City
State
Zip
28532-2214
Phone Number
252-447-7764
Fax Number
252-444-6800
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4832 (North Carolina)
Definition
Definition to come...
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