Individual provider · Type 1 NPI

Charles Ellis Jr.

Mental Health Counselor · Las Vegas, NV

NPI number 1184020968 Active

Practice location

5130 S Pecos Rd
Las Vegas, NV 89120-1201

Call (702) 560-5973 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1184020968

Charles Ellis Jr.'s National Provider Identifier is 1184020968, issued on Nov 6, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Vegas, NV. The record was last updated on Nov 6, 2014.