Individual provider · Type 1 NPI

Adrienne Benita Ellis, PSY.D.

Professional Counselor · Clinton, MD

NPI number 1104153345 Active

Practice location

7801 Old Branch Ave, Suite 212
Clinton, MD 20735-1608

Mailing address

10805 Slippery Elm Ct
Clinton, MD 20735-4097

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLC3283 (MD)

Professional Counselor: Definition to come...

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About NPI 1104153345

Adrienne Benita Ellis, PSY.D.'s National Provider Identifier is 1104153345, issued on Nov 9, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Clinton, MD. The record was last updated on Nov 9, 2009.