Individual provider · Type 1 NPI
Holly Ellingburg, M.AMFT, LPC
Professional Counselor · Jackson, MS
NPI number
1063658730
Active
Practice location
4500 I 55 N Ste 293
Jackson, MS 39211-5966
Fax (601) 362-4089
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1409 (MS) |
Professional Counselor: Definition to come...
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About NPI 1063658730
Holly Ellingburg, M.AMFT, LPC's National Provider Identifier is 1063658730, issued on Dec 30, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, MS. The record was last updated on Dec 30, 2008.