Individual provider · Type 1 NPI

Stephanie Dawn Ellsworth

Mental Health Counselor · Vancouver, WA

NPI number 1114761756 Active

Practice location

1601 E 4th Plain Blvd
Vancouver, WA 98661-3713

Call (360) 989-3743 Map

Mailing address

2177 37th St
Washougal, WA 98671-9181

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XSTUDENT (WA)

Mental Health Counselor: Definition to come...

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About NPI 1114761756

Stephanie Dawn Ellsworth's National Provider Identifier is 1114761756, issued on Jun 19, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Jun 19, 2024.