Individual provider · Type 1 NPI

Thomas Matthew Ellis, MA LMFT

Mental Health Counselor · St. Paul, MN

NPI number 1144357542 Active

Practice location

1133 Grand Ave
St. Paul, MN 55105-2629

Fax (651) 641-8635

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1017 (MN)

Mental Health Counselor: Definition to come...

8 other providers at this address

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About NPI 1144357542

Thomas Matthew Ellis, MA LMFT's National Provider Identifier is 1144357542, issued on Feb 27, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Paul, MN. The record was last updated on Jul 8, 2007.