person
Connie S Ellison
Mental Health Clinic/Center (Including Community Mental Health Center) in Paducah, Kentucky
NPI 1932262722

Connie S Ellison is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Paducah, KY and is specialized in Mental Health (Including Community Mental Health Center). Connie S Ellison practices in Paducah, KY. The NPI Number for Connie S Ellison is 1932262722 and holds a License No. (Kentucky).

The current practice location address for Connie S Ellison is 425 Broadway St, Paducah, KY and can be reached out via phone at 270-442-7121.

Location: 425 Broadway St, Paducah, KY, 42001
person
Provider Profile Details
NPI Number
1932262722
Provider Name
Connie S Ellison
Credential
Provider Entity Type
Individual
Gender
Female
Address
425 Broadway St, Paducah, KY, 42001
Phone Number
270-442-7121
Fax Number
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
KY-1964 01 KY LCSW
institution
Provider Business Practice Location Address Details
Address
425 Broadway St
City
State
Zip
42001-0713
Phone Number
270-442-7121
Fax Number
person
Provider Business Mailing Address Details
Address
425 Broadway St
City
State
Zip
42001-0713
Phone Number
270-442-7121
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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