Individual provider · Type 1 NPI

Mikiko L. Ellis

Counselor · Santa Fe, NM

NPI number 1164734091 Active

Practice location

2504 Camino Entrada
Santa Fe, NM 87507-4851

Call (505) 471-5006 Map

Mailing address

PO Box 6621
Santa Fe, NM 87502-6621

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1164734091

Mikiko L. Ellis's National Provider Identifier is 1164734091, issued on Jul 8, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Santa Fe, NM. The record was last updated on Jul 8, 2010.