Individual provider · Type 1 NPI
Nicole Ellis, M.A.
Mental Health Counselor · Navarre, FL
NPI number
1053633669
Active
Practice location
1951 Alamanda Ct
Navarre, FL 32566-7658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | IMH6310 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1053633669
Nicole Ellis, M.A.'s National Provider Identifier is 1053633669, issued on Feb 23, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Navarre, FL. The record was last updated on Feb 23, 2010.