Individual provider · Type 1 NPI

Mary Jennifer Martin-Ellison, LCSW

Mental Health Counselor · Durham, NC

NPI number 1093869240 Active

Practice location

2670 Durham-Chapel Hill Blvd
Durham, NC 27707-2829

Call (919) 251-9001 Map

Fax (919) 251-9008

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC006082 (NC)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1093869240

Mary Jennifer Martin-Ellison, LCSW's National Provider Identifier is 1093869240, issued on Jan 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Durham, NC. The record was last updated on Jun 12, 2013.