Individual provider · Type 1 NPI

Corey Jason Ellison, LPCA

Mental Health Counselor · Charlotte, NC

NPI number 1164769964 Active

Practice location

145 Scaleybark Rd
Charlotte, NC 28209-2687

Fax (704) 536-6030

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA9913 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1164769964

Corey Jason Ellison, LPCA's National Provider Identifier is 1164769964, issued on Jan 14, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Jan 14, 2013.