Individual provider · Type 1 NPI

Ellen Farrell, LPC

Professional Counselor · Thunderbolt, GA

NPI number 1144557570 Active

Practice location

415 Bonaventure Rd
Thunderbolt, GA 31404-3299

Call (912) 247-4263 Map

Mailing address

105 Willow Point Cir
Pooler, GA 31322-3925

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC004218 (GA)

Professional Counselor: Definition to come...

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About NPI 1144557570

Ellen Farrell, LPC's National Provider Identifier is 1144557570, issued on Nov 5, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Thunderbolt, GA. The record was last updated on Nov 5, 2009.