Individual provider · Type 1 NPI
Nicole Renee Ellis, LPCC-S, NCC
Professional Counselor · Elizabethtown, KY
NPI number
1164580106
Active
Practice location
108 Christine Way
Elizabethtown, KY 42701-9681
Other practice locations
- 1072 S Dixie Blvd, Radcliff, KY 40160-1103 · (270) 351-8166
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 103828 (KY) |
Professional Counselor: Definition to come...
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About NPI 1164580106
Nicole Renee Ellis, LPCC-S, NCC's National Provider Identifier is 1164580106, issued on Dec 4, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Elizabethtown, KY. The record was last updated on Jul 21, 2022.