Individual provider · Type 1 NPI

Jeremy Ellis

Mental Health Counselor · Boulder, CO

NPI number 1003369430 Active

Practice location

1501 Yarmouth Ave
Boulder, CO 80304-0564

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003369430

Jeremy Ellis's National Provider Identifier is 1003369430, issued on Aug 2, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Aug 2, 2016.